Class of 2022 MCLP Participant Applicant Employer Support/Reference Form

MCLP Participant Applicant Information
MCLP Participant Applicant Name
If the applicant's name is not already pre-populated below, please enter it.
MCLP Participant Applicant Employer Supporter Information
MCLP Participant Applicant Employer Supporter Personal Information
Please enter your name and the information requested.
Work Address
Employer's Commitment
Investment in leadership training is a team effort. For a leader to succeed, many people must become involved. Your employee has indicated interest in the Multicultural Leadership Program (MCLP), thus committing themselves to the program agenda. As their employer, your commitment is important as well. Participants in MCLP must attend all learning events. This might result in a small amount of time away from the office. Your commitment and support is a major factor in a participant’s successful completion of this program.
Yes, I understand all MCLP participants must attend two learning events per month: one Thursday evening and one full Saturday for the duration of the eight-month program. Only one Friday learning event is scheduled. In addition, they will be working on a community project that will take time to complete.
Yes, they have my support to participate in the Multicultural Leadership Program.
They will be reimbursed program fees upon successful completion of the program:
Type your name
Leadership Assessment

Please check the column that most accurately reflects your assessment of the nominee.

Superior = outstanding excellence of this nominee. Excellent = a strong rating. Good, Fair, and Not Applicable (NA) are self-explanatory.

SuperiorExcellentGoodFairNot Applicable or Not Observed
Esteem in which they are held professionally *
Demonstrated leadership *
Currently handles leadership responsibility *
Ability to work with others *
Communication skills *
Passion for becoming a better leader *
Overall leadership potential *
Please explain why you believe this nominee and our community will benefit through their participation in MCLP.
Do you have any additional observations about this individual that you would like to share?
Certification
For a participant to develop fully as a leader with the Multicultural Leadership Program takes a team effort. You, as reference for an applicant to the next MCLP class, have completed this form to the best of your ability. If the applicant is accepted into the program, you will become part of this individual’s circle of support. Although only the participant is allowed to attend MCLP learning events, the information can be shared with you by the participant. I understand this and pledge my cooperation and support.