Caribbean Canada Leaders Dialogue 2025
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CCLD 2025 Application

Please complete and submit your application by March 1, 2025.

For assistance with applications, please email at info@commonwealthleaders.org

Please make certain you:
• answer all questions
• submit an Endorsement of Sponsor form if required

After submitting your application, please allow up to one minute for the confirmation page to appear.

An email confirmation message will be sent upon receipt of your online application. If you do not receive an email confirmation message, this means that your application has not been received.

In order to begin the application, you must first review and accept the terms and conditions set out below.

Step 1 of 4

25%

Salutation

Gender

Given Name(s)

First Last

Date of Birth

MM slash DD slash YYYY

Languages Spoken

Do you identify yourself as

Home Address (inside Canada)

Address

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

Mobile Phone

Office or other Phone

What is your preferred method for contact

Office Coordinates

Organizations

Address

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

Work Phone

Work Email

Work Experience

Current Title

Current Organization

Length of time in this role

Responsibilities in this Role

Previous title

Previous Organization

Length of time in this role

Previous title

Previous Organization

Length of time in this role

Are you a member of any professional organizations?

Yes

Which organization(s), which role(s), how long?

Are you a member of a trade union?

Yes

Did you hold any roles as part of your union membership?

Conference

Describe why you are applying for this conference

Describe your educational experience

Describe your current challenges or projects

Describe why you are applying for this conference

Describe how your current role will benefit by your attendance

Describe how conference attendance aligns to your professional and personal goals

Describe any relevant personal achievements

How do your goals align to the conference theme?

Describe your current leadership challenges or projects

Describe your community involvement

Identify any special interests

Employer Information

Is your employer or organization aware of your application?

Yes

Is your employer or organization aware of your absence to meet conference requirements?

Yes

Who is paying your application fee (should there be one)? Are you self-funded, other?

Self-funded

Other

How did you hear about the conference?

Is someone championing or sponsoring your application?

Section Break

Each conference participant will be assigned to a study group that will visit one of the selected Caribbean countries during the conference. In order of preference, list three countries you would like to visit as a participant of the conference. Planning will prioritize your selection, however no guarantees can be provided that choices can be reflected in planning.

First Choice

Second Choice

Third Choice

The Duke of Edinburgh Commonwealth Study Conferences Canada Inc. is collecting this information for the purpose of reviewing candidate suitability to participate in the Caribbean Canada 2025 Leaders Dialogue.(Required)

Agree

The information will only be collected, used, disclosed and retained to assess participant suitability and for planning, outreach and communication consistent with the mandate of The Duke of Edinburgh Commonwealth Study Conferences Canada Inc.(Required)

Agree

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