CELA'19 Application Form

CELA'19 Academy Application
Apply by 1 March 2026

Salutation*

MS

MR

MX

First name*

Last name*

Are you a close relative of a CELA member?*

No

Yes

Who will pay your $3,500 participation fee?*

Current position/title*

Workplace name*

Size of organization/team you manage (if applicable)

Date of Birth*

Citizenship*

Where are you living now?*

Preferred mailing address

Home

Company

Institution

Country

City

Street NO

Postal Code

Phone

Mobile (Whatsapp/Telegram)*

Preferred Email*

Other Email

How did you find out about CELA?*

Have you applied to CELA before? If Yes, when?*

Are you nominated by a CELA fellow? If yes, please provide their name:

Have you faced situations where you felt that you genuinely exercised leadership and what you did? (Maximum 200 words)*

What do you hope to gain from attending the Leadership Academy? (Maximum 100 words)*

How can your peers in the CELA Leadership Academy benefit from your participation? (Maximum 100 words)*

How do you see yourself contributing to CELA network back home upon your participation in the Leadership Academy? (Maximum 100 words)*

Tell us one surprising fact about yourself (Maximum 50 words)*

Will you be able to attend all 10 days of the Leadership Academy?*

Add your CV and any other background material (in 1 file) you would like to share with the Selection Committee.*

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