Test Application Work Email* We will send a copy of your responses to this email address.Personal Email* To be used in the future for SLI Alumni events.Name* First Last Employer or Sponsoring Organization*The Leslee Niethammer Scholarship The Leslee Neithammer scholarship was established in honor of Leslee Neithammer who died March 11, 2016. Since SLI's inception, Leslee, in addition to her responsibilities as the Director of The Saline District Library, was the person behind the scenes managing all of the administration for the program. She made sure the classes were well organized and presented each year. This need-based scholarship was established for individuals who may not have the financial resources to attend. Please choose a payment option listed below, including if you are interested in the Leslee Niethammer Scholarship. ***** Limited full and partial scholarships are available based upon financial need. Please consider me for the Leslee Niethammer Scholarship Please invoice me. Credit Card or Payment Plan. (Visit Saline Community Ed to pay by credit card.) Job Title or Leadership Position*Address* Street Address City State / Province / Region ZIP / Postal Code Daytime Phone*Evening Phone*Community InvolvementPlease enter organizations, dates, and what your involvement is.Tell us what each individual’s responsibility is in improving the quality of life in our community:Tell us why you want to participate in the Saline Leadership Institute:List 1-3 leadership goals/skills you'd like to develop:How did you hear about Saline Leadership Institute?*Do you have any dietary restrictions/preferences? Please provide detail in box below.*Agree to the following terms* *To attend the kick-off retreat in September (Sep. 17th and 18th) and at least 7 of the 8 monthly sessions (Oct. 8th, Nov. 12th, Dec. 10th, 2020 and Jan. 14th, Feb. 11th, Mar. 11th and April 8th, 2021) to receive a Certificate of Completion. *I agree to pay the $545 tuition fee by July 15, 2020 to receive the early registration discount or the regular fee of $595 by August 15, 2020. The tuition fee will be cancelled if you have applied for and been granted the Leslee Niethammer scholarship. *I acknowledge that photos will be taken during the sessions and may be used in SLI publications, articles, website and/or social media (Facebook, Instagram, etc.). Continuing Education Credit I would like to receive continuing education credits upon completion of this course. CAPTCHA
