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Minority Leadership Program 2020

MINORITY LEADERSHIP PROGRAM: PARTICIPANT APPLICATION FORM


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Thank you for your interest in NASTAD's Minority Leadership Program (MLP).  Persons of color working in health departments and government agencies, face myriad challenges as it pertains to job advancement, leadership development, and growth opportunities in these institutions. NASTAD recognizes the need to be able to increase the capacity of emerging leaders in health departments and seeks to equip them with skills, mentors, and introspection that will help them advance in their varied personal career trajectories. NASTAD’s MLP will serve as a space rooted in social justice for health department staff of color to engage in critical conversations about skills necessary for job advancement, institutional barriers, managing emotions and burnout, racial and gender-based microaggressions, triggers, staff and project management, communication and more. Please complete the following application, including attaching all supporting documents by Friday, November 15, 2019. Only complete applications will be reviewed by the Selection Committee.


Ideal MLP candidates possess:
  • A junior/mid-level state or CDC funded health department position in a HIV or viral hepatitis program; 
    • Eligible jurisdictions include State Health Departments in the Continental U.S., Puerto Rico, the U.S. Virgin Islands, American Samoa, the Commonwealth of the Northern Mariana Islands, and Guam. 
    • Eligible CDC funded jurisdictions include Health Departments in LA County, Baltimore, Houston, Philadelphia, DC, San Francisco, New York City, and Chicago.
  • A strong professional work history that demonstrates increasing development of skills and increasing responsibilities;
  • Appropriate professional position to share and communicate their work with health department colleagues and the general public;
  • Expressed desire and passion to exercise leadership in the field of HIV and viral hepatitis;
  • Understanding of concepts pertinent to social justice and health equity; 
  • Ability to travel for two face-to-face meetings, one on March 16-20 and the other on July 13-17;
  • Commitment to participate in the entire year-long training program; and
  • Strong recommendations from health department and other professional colleagues.

For specific questions about the program or the application process, please contact Rosy Galván at rgalvan@nastad.org.
 
SECTION A: Indication of Application & Commitment (required)
APPLICANT PRONOUNS: *This question is required.
Demographic Information: Only members of NASTAD’s Selection Committee will have access to this information. All responses will be kept entirely confidential and will not be used for any discriminatory purpose. If you wish to change this information after submission, please contact Rosy Galván at rgalvan@nastad.org.

RACE: *This question is required.
The following demographic categories are optional. Candidates of all gender identities, gender expressions and sexual orientations are encouraged and welcome to apply.

GENDER:
SEXUAL ORIENTATION:
SECTION B: Indication of Committment

Applicant Commitment:I signify that I intend to fully participate in the activities outlined in NASTAD's MLP Overview, including: attend two face-to-face meetings, participate in virtual peer meetings, complete coaching sessions, and partake in activities with former MLP cohorts. As travel is required for participation in the MLP, I commit to attending the two face-to-face meetings and getting the necessary approval to do so. I commit to fully participate in all aspects of the MLP program and communicate with supervisors and NASTAD staff areas of growth, development and needs.
This question requires a valid date format of MM/DD/YYYY.
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Supervisor Commitment:
I signify that I understand the commitment being asked of the staff person I supervise above. If they are selected, I agree to allow them to participate in the activities outlined in the NASTAD MLP description, including: attend two face-to-face meetings, participate in virtual peer meetings, complete coaching sessions, and partake in activities with former MLP cohorts. I agree to provide support, guidance and input into my supervisee’s professional development. I agree to provide feedback and input to NASTAD staff regarding the MLP when requested, either via teleconference or electronic survey.
SUPERVISOR PRONOUNS: *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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Additional Information:
This question requires a valid date format of MM/DD/YYYY.
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