SJCA Cohort 4 Acceptance Form

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Email*

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Name:*

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Program Fee*

I accept and am responsible for the Program Registration Fee of $1,000. The program includes a 3-day residency (required), and a series of six subsequent 1-day workshops held virtually.

Yes

I am a scholarship recipient

Travel*

I also understand that I am responsible for my travel and accommodation costs related to all in person events held within the Institute.

Yes

Program Completion*

As a participant in Cohort 4, I agree to complete all assessments and evaluations as requested to assist the program team in accumulating and tracking data that will be kept confidential and used for further program development. Not completing all evaluations may result in being removed from the program.

Yes

Please attach a professional headshot/picture*

Accepted file types: jpg, pdf, png, Max. file size: 256 MB.

Short Bio*

Please provide a short bio (less than 150 words)

Name

This field is for validation purposes and should be left unchanged.

ACCCA IS THE ONLY GROUP PROVIDING PROFESSIONAL ADVOCACY IN SACRAMENTO SOLELY FROM THE ADMINISTRATIVE PERSPECTIVE.

ACCCA IS YOUR CONNECTION TO THE COMMUNITY COLLEGE MARKET!

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