THE ARAPAHOE/DOUGLAS FAMILY LEADERSHIP TRAINING INSTITUTE PARTICIPANT APPLICATION FORM & INFORMATION Dear Interested Participant: We are pleased to announce the 5th Family Leadership Training Institute (FLTI) of Colorado. The FLTI curriculum is a proven curriculum that inspires, trains and empowers individuals to become effective change agents on behalf of children, youth and families. This opportunity is offered to 20-25 participants that apply, are interviewed and selected based on their availability and readiness. The 20-week FLTI curriculum is based on the premise that the family is a child’s first and most important teacher. Family members are also the best advocates for children and communities. Community leaders including parents, youth and family members, can be effective when they speak out on issues and inform policy-makers, the media, and the community, about the needs of their members. FLTI offers a stimulating curriculum that will boost leadership skills to address areas of concern such as accessible child healthcare, the education achievement gap, neighborhood safety, and the significance of parental involvement. Together, class participants will emerge as strong leaders and advocates for all children and their families. The curriculum is a full-semester course, featuring three distinct phases. Participants will attend all three phases of training: 1) A kick-off retreat scheduled for January, 2013 to develop group cohesion and define mission. 2) A 10-week session on leadership, understanding personal history and its impact on perception. 3) A 10-week session to study politics, policy and media with a Community Project to practice your new skills within a community framework. Individuals will be selected with consideration given regarding how their participation will enhance diversity, strength, and learning for the group as a whole. Who should apply? Parents, teen parents, grandparents, community members and others who wish to improve the lives of children, families and communities. The FLTI course is offered FREE of charge and provides a light dinner and free childcare each week! Your time, commitment, and a written community project that reflects your passion, is what we ask in return. Please consider whether FLTI is the right opportunity for you at this time. Please submit all requested information to: Debi Reid (720)974-9640 debi@acecc.org THE COLORADO FAMILY LEADERSHIP TRAINING INSTITUTE Curriculum Outline Retreat Creating a Caring Community for Children Session I Thriving with Diversity in the Group Process Session 2 The Change Process Session 3 Parents as Change Agents Session 4 How to Define a Problem and Work Toward a Solution Session 5 The Intentional Use of Language Session 6 Learning How a Community Works Session 7 How Local Systems Work and How to Interact with Them Session 8 Networks Session 9 The Power of the Media and How to Use it Session 10 Using Your Voice Session 11 The Life Cycle of the Child and the Functions of the Family Session 12 Social and Economic Trends Affecting Children and Families Session 13 What is Public Policy? Session 14 How the State Works Session 15 How a City Works Session 16 How We Understand the Law Session 17 Budgets - From Wallets to State - It’s all Money and Priorities Session 18 Evaluation, Outcomes and Accountability Session 19 The Magic of the Unexpected Forming New Alliances Session 20 Language: Packaging and Moving Agendas Please submit all requested information to: Debi Reid (720)974-9640 debi@acecc.org THE COLORADO FAMILY LEADERSHIP TRAINING INSTITUTE PARTICIPANT APPLICATION Please complete this application and submit along with the following information: Street Address: Home Phone:( City: ) Cell Phone:( Zip: ) Email: Do you have children? Yes No If Yes, how many children do you have? 1 Are there other adults in your household? 2 3 Yes If, Yes, how many adults are in your household? 4 5 Other________ 3 4 No 1 2 Other______ Would you need childcare to allow you to participate in FLTI? Yes No Maybe Would you need transportation to participate in FLTI? Yes No Maybe Would you need a job release to be able to attend classes? Yes No Maybe What is your racial/ethnic background? (optional): Asian/Pacific Islander Black Latino Native American White Other_______ What is your total annual household income? Less than $20,000.00 $60,000-$84,999 $20,000-$39,999 $85,000 + $40,000-$59,999 Please respond to the following questions. If you need more space please attach additional pages to this application. Please submit all requested information to: Debi Reid (720)974-9640 debi@acecc.org What skills would you like to learn/develop to become a stronger family/community leader? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What issues primarily concern you for children and your community as a whole? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ In view of your concern(s) at this time, what subject area would you like to develop for a potential community project? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ I certify that all of the information provided in this application is accurate. Applicant Signature Date Please submit all requested information to: Debi Reid (720)974-9640 debi@acecc.org