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Green Leadership Certificate Registration 2020-2021

Please fill out the following form to enroll in the Leadership Development Program (LDP) for the upcoming Fall semester.

The Annual Kick Off event will be on Friday, October 2, 2020 from 3:30pm-5pm and will be held virtually this year. This event is required for the completion of the program so please keep that in mind.

  • Name Name *
  • Identity Information

    These are voluntary questions, for the sole purpose of pairing mentors and mentees as intentionally as possible.

  • For demographic purposes, please indicate any of the following additional identities you would use to describe yourself
    For demographic purposes, please indicate any of the following additional identities you would use to describe yourself
  • Mentorship

    Every student who signs up for the Green Certificate, Proud Eagles & Talon Academy is assigned a Faculty, Staff, or Student mentor to work with them throughout the year! You will receive the name of your mentor through your Brockport email once you have been matched.

    In order to best match you with a mentor, please respond to the following questions to the best of your ability.

  • Proud Eagles

    Proud Eagles is a LGBTQIA+ and Ally mentorship program. This is not a seperate program; rather, it is a component of LDP and you will be responsible for completing your LDP obligations as well as participating in Proud Eagles. If you choose to participate, you will have a Proud Eagles mentor instead of a LDP mentor. This mentor will be paired with you based on shared identities and lived experiences. Proud Eagles will have 2 -3 workshops per semester that you will attend in addition to LDP workshops. There will also be one community service opportunity each semester at a LGBTQIA+ focused organization in the Western New York area.

  • Are you interested in joining Proud Eagles? *
    Are you interested in joining Proud Eagles?
  • Educational Mentorship Topics

    Please check the appropriate boxes if you have specific needs, concerns, interests, or questions regarding the following topics.

  • *
  • Talon Academy

    The Talon Academy is an initiative for men of color with the purposes of guiding and supporting their personal, academic, and professional success. The mission of the Talon Academy is to enhance the graduation and success rates for Brockport’s male population through academics, enrichment, and encouragement. To achieve this mission, students will connect with a mentor, participate in purposeful workshops, formulate their leadership abilities, and create a trusted community.
    For more information check out this website: https://cc.brockport.edu/academics/advisement/talon_academy.html

    Please note that in order to participate in Talon Academy, you MUST also complete the Green Certificate.

  • Are you interested in joining Talon Academy?
    Are you interested in joining Talon Academy?
  • What time works best for you?

    Workshops will be once a week for 50 minutes. You will be emailed what day and time you were assigned based on your availability.

  • Select all the options that would work in your schedule:
    Select all the options that would work in your schedule:
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