Application Form

You will receive email confirmation of acceptance of your application within 24 hours. If you do not receive confirmation, please contact Christy Ezzell via email at ezzellc@ccl.org.

(* indicates required fields)

Your Name*

Your Email*

Organization*

Phone*

Message

Please provide us with the following seven attachments (1Mb limit for each enclosure):

Application*

Resume*

Personal statement of desire and commitment*

Verification of organization's 501c3 tax status*

Organization's statement of commitment*

Letter of recommendation #1*

Letter of recommendation #2*