Emerging Leaders Program Application - Access Services

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Emerging Leaders Program Application

Applications close on August 22, 2025. There is no fee to apply. If selected for the program, participants will be asked to pay a $99 enrollment fee to confirm their spot.

"*" indicates required fields

Name*

First Last

Phone*

Email*

Organization Name*

Please enter the name of your primary organization.

Do you live in Montgomery County, PA and/or does your work directly impact the county?*

Yes

No

Do you see yourself living in or working in Montgomery County, PA in the next 3-5 years?*

Yes

No

I am not sure

What sector(s) do you currently work in? (Select all that apply.)*

Faith-based

Nonprofit

Government

Education

Private Sector

Other

If Other, please specify:

How many years of professional experience do you have? (Select one of the options below.)*

0-2 years

3-5 years

6-10 years

More than 10 years

Personal Statement: Why are you interested in the Multi-Faith Coalition Emerging Leaders Program? (200-300 words)*

What draws you to this opportunity? How does it connect to your personal values, professional goals, or faith/religious tradition? How might this program support your vision for service or leadership in the next 3-5 years? If you do not currently live or work in Montgomery County, how might this program benefit you, your work, or your community?

Leadership in Action: Describe a time when you exercised leadership in your community, workplace, or faith/religious space? (200-300 words)*

What was the situation? What role did you play? What did you learn about leadership?

Commitment to Collaboration and Inclusion: This program brings together people from diverse sectors, identities, and faith traditions. What does it mean to you to lead across lines of difference? (200-300 words)*

How have you navigated differences in the past? What strengths do you bring to a diverse learning community?

Can you commit to attending all in-person and virtual program sessions? (Select one of the options below.)*

Yes

No

I am not sure

If unsure, please explain:

Are you interested in being considered for volunteer leadership placements after the program? (Select one of the options below.)*

Yes

No

I am not sure

If unsure, please explain:

Resume Upload*

Please upload a 1-2 page resume highlighting your education, work, volunteer, and leadership experience.

Max. file size: 50 MB.

Nomination and Referral Information

If applicable, please provide the name and contact information of the person who nominated or referred you to the program.

How did you hear about this program? (Select all that apply.)*

Friend or colleague

Social media (e.g., Instagram, Twitter, Facebook)

Newsletter or email

Website or blog

School, university, or workplace

Event or conference

Other

If Other, please specify:

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Access Services is a 501(c)(3) organization serving Eastern Pennsylvania. Tax ID #23-2003056.

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Delaware Valley

500 Office Center Drive, Suite 100
Fort Washington, PA 19034-3234
1.800.793.2150 (toll free)

Schuylkill/Carbon/Berks

340 S. Liberty Street
Orwigsburg, PA 17961-2127
1.800.200.7701 (toll free)

Lehigh Valley

3975 Township Line Road
Bethlehem, PA 18020-4200
1.877.896.6667 (toll free)

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