Class of 2012 Leadership Program Application

Download as a PDF

This application is static, and cannot be completed electronically. It is preferred that applicants submit from the Microsoft Word Document, which can be completed and saved, electronically. 

Download as a Microsoft Word Document (preferred)

This is the preferred method, as applicants can complete this form using MS Word, or a word processing program that can open MS Word files, such as Apple iWork. 

If you are experiencing trouble downloading the .DOCX file, above, please try downloading a ZIP file containing a compressed version of the MS Word Document

Submitting Applications           

If you e-mail your application, an original copy of the commitment form must be mailed to our office. Upon receipt of your application, you will be sent an e-mail confirmation with
information about the orientation.

  • E-mail:
    info@civicpioneers.org
  • A $100 application fee must be included with
    your application. 
  • Please make checks payable to Civic Pioneers Institute / NVCF.

Mail or Drop off Applications at the following Address

Civic Pioneers Institute Leadership Program 
c/o LearningChange, LLC
attn: Selection Committee
120 West Second Street, Suite 2
Chico, CA 95928

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