APPLY NOW – Diversity Leadership Colloquium

Cohort XX: August 19, 2025 – November 4, 2025

The application deadline is August 10, 2025.

Name(Required)

Prefix First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth

Mobile Phone(Required)

Email(Required)

Headshot(Required)

Max. file size: 100 MB.

Please upload a professional headshot.

Are you a U.S. Citizen(Required)

Employment Information

Employer

Job Title

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Biography (No Resume)(Required)

Max. file size: 100 MB.

Please do not submit a resume

Education Information

High School

Graduation Year

College/University

Graduation Year

If yes, please list Degree

College/University

Graduation Year

If yes, please list Degree

College/University

Did you graduate?

If yes, please list Degree

Highest Degree Obtained

Associates

Bachelors

Masters

Educational Specialist (Ed.S.)

Doctorate (Ed.D. or Ph.D.)

References

Please provide the name, job title, email, phone, and a letter. 1) Professional Reference 2) Character Reference

Name of Professional Reference(Required)

First Last

Job Title(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Name of Character Reference(Required)

Prefix First Last

Please list the name of the character reference.

Job Title(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Letter of Professional Reference

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.

Please upload a letter of reference from both individuals listed.

Professional Information

Please list memberships in professional organizations and your community involvement, if any:

Today's Date(Required)

Tuition & Payment Options(Required)

Personal Payment

Employer

Corporate Sponsorship

Community Sponsorship

If other, please specify.

Other

If you are admitted into the program, the Cohort meets once a week on Tuesday evenings from 6pm – 8:30pm. The tuition cost is $995. Please be sure to indicate above how your tuition will be paid. For applicants making a personal payment, the full payment is due one (1) week prior to the beginning of the cohort. Applicants who need to do a payment plan, once approved; there will be three (3) payments on the following schedule: 1st Payment of $350 due on or before Orientation, 2nd payment of $350 due on or before Week 5, 3rd and Final Payment of $350 due on or before Week 10. If you have a sponsorship, provide the Name of Sponsor, Email, and Phone Number. Tuition payments can be made via Personal Check, Corporate Check, Money Order, or Official Check.

Name of Sponsor, Email, and Phone

CAPTCHA

Diversity Leadership Colloquium

DLC Application

Cohort XX: August 19, 2025 – November 4, 2025

Employment Information

Education Information

References

Professional Information