The Institute for Nonprofit Management and Leadership
Boston courses begin October 1, 2013.
Lowell courses begin October 2, 2013.
Graduation is on April 29, 2014.
A completed application includes the following:
Upon receipt of completed application, applicants will be contacted to arrange a mandatory group interview at the School of Management.

Please review the application form below and gather all needed information before starting the application process. The admissions committee will only review complete applications.
Personal Information (* required information)
* Location
* Email  
* Confirm Email  
* First Name    
Middle Name
* Last Name  
* Salutation             Suffix
Boston University degree and year, if applicable
* Country of Citizenship
Format US numbers as XXX-YYY-ZZZZ. Include country codes for international numbers.
* Phone number  
Fax
Primary State of Licensure
NASW membership number if applicable
Secondary State of Licensure      


Office Information (* required information)
Organization  
* Office Address 1  
Office Address 2
* City  
* State/Province
* Zip/Postal Code  
* Country


 Preferred Mailing Address (*Please indicate where to mail your materials.)
Use my Office Address
Use the Preferred Address below.
Preferred Address Type  
* Preferred Address 1  
Preferred Address 2
* City  
* State/Province  
* Zip/Postal Code  
* Country  


General Information (* required information)
* Sector Type  
* Sector Type if Other  
* Years in Practice  
* Number Of Staff Working In Your Organization
* Number Of People You Manage  
 
* Number Of Programs You Manage  
 
* How did you hear about this program  
* Gender
  
* Name for certificate
* Emergency contact First Name
* Emergency contact Last Name
* Emergency contact phone
 
* What are the major responsibilities of your job?
 
* Briefly describe the major management and leadership challenges in your organization?

* Statement of purpose - briefly assess how you or your staff would stand to benefit from a year-long intensive leadership program?
 
* Please provide a short bio to share with other participants. Describe your current position, responsibilities,
company, company profile, previous work experience, and educational background. Examples.
 
*  Please provide a recent version of your resume or c.v. in PDF or MS Word (.doc, or .docx) format.
Click on the Browse button to select a file to upload.


Recommendation Letters (* required information)
Please submit two letters of recommendation. One of the recommendations should be from your current Board Chair or Executive Director. The second recommendation should be from a peer or someone who knows your professional work. Click here to download the form.
* Board Chair or Executive Director  
* Peer  


 Special Needs (* required information)
Special Needs: We are in full compliance with the legal requirements of the Americans with Disabilities Act rules and regulations. If you have any disability-related needs, please explain below. If it is within three weeks of the activity date please call 617.353.4248.

wheelchair   		 Do you have a disability which may     Yes No
require special services?
     

 Dietary Needs (* required information)
Do you have food allergies or other dietary needs?
Yes  Please describe:   No
     

Please specify your race/ethnicity:
* if Other     
 
* A photographer will be onsite. May we have your permission to take your photograph in conjunction with the conference for use in our marketing materials?
   Yes     No

If you have questions regarding registration, please contact the Executive Leadership Center by calling: 617.353.4248 between the hours of 9:00 AM - 5:00 PM EST Monday through Friday OR by Email.
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