INDIANA LATINO LEADERSHIP CIRCLE Creating a New Generation of Latino Leadership
Employer Support Form Please have your employer complete this form prior to submitting the application. All selected participants are required to attend the Welcome Reception & Program Introduction as well as each monthly session/activity and must stay for the duration of the session. A participant may miss only one session. Each Session will meet each month from 9:00 am – 4:00 pm. Preparation for each event is also required- materials and supplemental documents will be listed at least one month prior to each Session. Please see schedule below: February
Welcome Evening Reception
February
Retreat - full day (Saturday)
March
Session 1 - full day (Week day)
April
Session 2 - full day (Week day)
May
Session 3 - full day (Week day)
June
Session 4 - full day (Week day)
July
Session 5 - full day (Week day)
August
Session 6 - full day (Week day)
September
Trip to DC - 3 days (Week day)
October
Session 7 – full Day - (Week day)
November
Session 8 – full Day - (Week day)
December
Leadership Circle Dinner (evening)
By completing and signing this form, you are indicating your support of the applicant as a participant. If you are self-employed, please just write Self-Employed in the signature box below and leave all other fields blank. Supervisor’s Name: _____________________________________________________________ Company: _____________________________________________________________________ _ Title: __________________________________________________________________________ Business Address: ______________________________________________________________ City: ______________________________ State: ________________ Zip: ________________ Business Phone: ______________ Business E-mail: ________________________________ I hereby support the applicant’s participation in The Leadership Circle as well as understand and support the time commitment this entails. Signature: ______________________________________ Date: ______________________ www.indianalatinoinstitute.org