Conservation Leadership Through Learning
Conservation Leadership Program
Human Dimensions of Natural Resources Department
Colorado State University
Application Part I
INSTRUCTIONS: Please save as a PDF if possible with file name: LastName_FirstName_App, and
submit through the CLTL admissions website
Today’s date (DD-MM-YY):
Last Name:
Gender:
First Name:
Male
Middle Name:
Female
Date of Birth (DD/MM/YYYY):
Address:
City/Town:
State/Province:
Email Address:
ZIP/Postal Code:
Country:
Phone:
How did you hear about this program?
Academic Background
Please list previous degrees earned, the name of the institution, years of study, and cumulative GPA (if applicable):
Institution
Degree(s) Earned
Dates
GPA
Professional Experience
Name of current or most recent employer:
Job Title:
Please list and describe (in 1-2 sentences) your current and previous positions in conservation that are relevant to the
CLTL program (e.g. jobs, internships, volunteerism) Add more rows to the table as necessary.
Position Title
Dates
Brief Description (1-2 sentences)
Cross-Cultural Experience
1
Please list and describe (in 1-2 sentences) any significant cross-cultural experiences. For example, study abroad,
involvement with different ethnic groups, significant international travel, etc. Add more rows to the table as
necessary.
Cross-Cultural
Experience
Location
Dates
Brief Description (1-2 sentences)
Leadership Experience
Please list and describe (in 1-2 sentences) your most significant leadership experiences, whether related to
conservation or other areas. Add more rows to the table as necessary.
Leadership Experience
Dates
Brief Description (1-2 sentences)
Program Fit
What past experiences suggest that you will thrive in this program?
Knowledge of Program
Have you spoken with any CSU faculty or staff about CLTL?
If yes, with whom did you speak?
Yes
No
Name:
Conservation Leadership Field Component (Year 2)
2
Conservation Leadership through Learning has a field component in year 2, when students complete final projects
(and coursework, for Mexico-EcoSur option). Please indicate in which of the following sites you are interested,
with your preferences expressed as “1” (first choice), “2” (second choice) and “3” (third choice). If you are not
interested in a site, leave it blank. Please note that you must complete Part II if you indicate CLTL-Independent
as any choice.
CLTL-Kenya
CLTL-Mexico/EcoSur (Spanish language proficiency required)
Please describe your Spanish language skill level. Specifically, indicate if you have completed any Spanish
proficiency exams (e.g., CELU, DELE, TELC or OPIc-ACTFL) and your score, if applicable. :
CLTL-Independent (complete Application Part II)
-------------
Comments
CLTL Agreement
Please read the following statements and then sign and date below.




I certify that the information I have provided is complete and accurate to the best of my knowledge.
I understand that if accepted into Conservation Leadership Through Learning I must also meet all the
requirements to attend Colorado State University’s Graduate School.
I understand that CLTL takes between 17-21 months to complete and the sequence of courses is
predetermined and I would not be able to apply transfer credits or take outside courses.
I understand that CLTL requires participation in a field component which will incur additional costs
separate from tuition and fees, as outlined on the CLTL and Education Abroad websites at CSU.
By checking here I am electronically signing this document and certify that all information is correct to
the best of my knowledge
Full Name:
Date:
3
Application Part II
To be completed by CLTL-Independent applicants only
I.
Location Information
Proposed Country
What is the total duration of time
you propose living/studying in the
location to complete your CLTL
requirements?
____ Months
Proposed City/Town and
State/Province
What is the total duration of
time you have spent in the
proposed location within the
past five years?
___ Years ____ Month
For proposed locations outside of the United States:
As of today, does your proposed country have a Travel Advisory issued by the U.S. State Department?
Go to http://travel.state.gov/content/passports/english/alertswarnings.html
____ Yes (See below)
____ No
If yes, please describe a summary of the risks and concerns described in the Travel Advisory, including any
language from the advisory specific to your proposed city/town/region.
Please summarize your prior experience in the region where you propose to live/study for the project portion of the
CLTL program. Note: while you do not need to have experience in the specific location, you do need to
demonstrate prior experience and familiarity with similar circumstances.
II.
Project Information
Please provide a general description of the proposed conservation project to fulfill the thesis requirements for the
CLTL degree requirements. Please limit your description to 3-4 paragraphs.
4
Please list the organizations with which you would work to complete the project described above, including your
previous experience and current relationship with the organization(s). Note: Your application should include a
letter of support/recommendation from the organization for your proposed project that demonstrates their
commitment to work with you. This letter can also serve as one of the three required letters of recommendation for
your application.
5