2024-25 BLDP Application

The Black Leadership Development Program Application

2024-2025 Cohort Invoice #_________________________
The Parity Inc. Black Leadership Development Program

907 W. Fifth St. Dayton, OH 45402

Direct questions regarding the Black Leadership Program to Sean Walton Sr. at 937.313.8044 (c)

Direct questions regarding the Black Leadership Program forms and payments to Carmelia Osley at 937.818.2241 (c)

Mission: To create a learning environment where highly screened and selected candidates are challenged to explore new leadership concepts and insights that will benefit African Americans professionally and in community engagement activities. Through this environment, the program attracts and builds a strong network of effective leaders who model the characteristics needed to serve their respective organizations and communities.

Program Description: The Black Leadership Development Program is a highly selective program designed to appeal to African American leaders and emerging leaders. Its purpose is to develop a pool of African American men and women from various backgrounds who are interested in and have the leadership capacity to address ongoing and emerging community issues effectively.

During this 11-month program, participants will meet monthly to learn through lectures, discussion, and direct experience of every significant aspect of community life. Issues from economics and education to criminal justice and intra-cultural diversity will be explored. Participants will also develop working relationships with civic, social, political, and community leaders. Topic experts are used throughout the program to enhance the presentations' quality and develop sharpened leadership skills. These speakers are excellent motivators and educators.

PROGRAM BENEFITS: For Employers
- Opportunity to enhance the civic/community leadership skills of employees.
- Creates highly motivated and challenged employees who are better prepared to go beyond their job responsibilities.
- Improves your corporate image in the community and demonstrates company involvement.
- An excellent investment in employee professional development.
- Provides an opportunity to showcase the organization’s commitment to multicultural diversity.
Provides networking opportunities among companies doing business in the Greater Dayton area.

PERSONAL AND PROFESSIONAL PROGRAM BENEFITS: For Employees
- Participate in thought-provoking leadership training activities.
- Gain a broader perspective of community issues and their impact on the quality of life for African Americans in the Greater Dayton area.
- Have an opportunity to participate in solving problems that affect the African American community.
- Expand professional networks and enhance personal relationships
- Receive deserved recognition and prestige as a community leader making substantial contributions to the quality of life in the Greater Dayton area.
The 2023-25 Black Leadership Development Program costs $2,300 per participant.

The Black Leadership Development Program 2024 -2025 Session Topics

THE SESSION TIMES ARE 9:00 - 4:00 P.M. AND CONTINENTAL BREAKFAST AND LUNCH WILL BE SERVED. ALL DATES ARE TENTATIVE.

TOPICS AND DATES

Black History Tour/Local Dayton History

Thursday, October 24, 2024

Black History in Dayton & Community Building

Thursday, November 14, 2024

Community and Economic Development & Entrepreneurship

Thursday, December 12, 2024

Leadership Retreat – Leadership That Matters

Friday, December 13 and Saturday, December 14, 2024

The Arts & Philanthropy

Thursday, January 9, 2025

Women of Influence/AA Top Ten/Sinclair Programs & Opportunities

Thursday, February 13, 2025

WPAFB Experience

Thursday, March 13, 2025

Local Human Services & Minority Health Challenges and Opportunities

Thursday, April 10, 2025

The Current State of Education & the Black Community

Our History – Shaping The Culture (Africana Elders Council)

Thursday, May 8, 2025

Local, State & Federal Criminal Justice System

Thursday, June 12, 2025

Black Church Influence and Impact

Civil Rights, Politics, and the Black Community

Thursday, July 10, 2025

Board Service and Purpose

BLDP Graduation Celebration

Thursday, August 7, 2025

Parity Inc.

THE BLACK LEADERSHIP DEVELOPMENT PROGRAM CONFIDENTIAL APPLICATION

Your completed application and written reference letter must be submitted electronically by 4:30 p.m. on Friday, September 13, 2024 to be considered.

PERSONAL DATA
Date*

MonthDayYear
Date
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Community/Neighborhood*
(i.e. West Dayton)
County *
(i.e. Montgomery County)
Personal Day Phone
Please enter a valid phone number.
Personal Evening Phone
Please enter a valid phone number.
Personal Cell Phone*
Please enter a valid phone number.
Personal Fax
Please enter a valid fax number.
Personal Email Address*
example@example.com
It would be helpful if you would supply the following information (check one):
Type a question

21-3435-5455-64>64
Gender

MaleFemale
EMPLOYER: Company or Organization (including community organizations formal and informal)
Company or Organization Name *
Position or Title*
Business Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone
Please enter a valid phone number.
Business Email Address
example@example.com
What is the nature of the business/organization?
How long have you been in this current position of responsibility?
How many years have you lived and/or been employed in the Greater Dayton area?
Preferred method of contact (check one):*

HomeBusiness
How did you hear about The Black Leadership Development Program

Parity Inc.

CONFIDENTIAL APPLICATION (continued)

ORGANIZATIONS AND ACTIVITIES
Leadership Positions
Please list all leadership positions you have held
Please list membership in the community, civic, business, professional, religious, and social organizations that have been of significance to you:
SUPPLEMENTARY INFORMATION

Please attach your resume and any supplementary information.
Cancelof
_______________________________________________________________________________________________
ATTENDANCE REQUIREMENTS

Participants are expected to attend all sessions. Those who miss more than two sessions will be denied graduation and may be asked to withdraw from the program. Tuition will not be refunded. Parity Inc. reserves the right to change the program dates if required for the success of the program. Program dates are indicated in the enclosed Program and Instructions information.
Can you fulfill the required time commitment?*

YesNo
A special project is required as part of the class participation, which may require an additional time commitment. Will you be able to contribute the time needed to fulfill this assignment?*

YesNo
Do you have the full support of your employer for the required time off from your position?*

YesNo
_______________________________________________________________________________________________
FINANCIAL INFORMATION

Tuition for each participant is $2,300. Full tuition for accepted candidates is due by the close of business on Thursday, October 24, 2024.

If you will receive sponsorship by your employer or other source provide the billing contact information below. If there will be multiple payment sources please indicate the percentage for each.
Corporate Percentage*
Enter Percentage (%) to be paid corporately
Name the individual or company to be invoiced for the participation fee*

First NameLast Name
Contacts Title*
Contacts Phone Number*
Please enter a valid phone number.
Contacts Email*
example@example.com
Contacts Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Percentage*
Enter Percentage (%) to be paid personally
Name the individual to be invoiced for the participation fee*

First NameLast Name
Contacts Title*
Contacts Phone Number*
Please enter a valid phone number.
Contacts Email*
example@example.com
Contacts Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Payment Source Percentage
Enter Percentage (%) to be paid by other source
Name the individual to be invoiced for the participation fee

First NameLast Name
Contacts Title
Contacts Phone Number
Please enter a valid phone number.
Contacts Email
example@example.com
Contacts Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parity Inc.

CONFIDENTIAL APPLICATION (continued)

REFERENCE

Please provide contact information for the individual who is most knowledgeable about your leadership ability and potential. Upon receipt of their contact information a Confidential Business Reference Form will be forwarded to them via email to complete and submit electronically.
Name*

First NameLast Name
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Please specify if the phone number provided is a*

Work phone numberPersonal cell phone number
Your completed application and Confidential Business Reference Form must be submitted electronically by 4:30 p.m. on Friday, September 13, 2024 to be considered.

Questions please call Sean Walton Sr. at (937) 313.8044.
GENERAL INFORMATION
If accepted into The Black Leadership Development Program, you must meet the following conditions to receive a graduation certificate. Please check each statement to affirm your understanding of the requirements to complete this program.

Not more than (2) excused absences for the scheduled classes.Must be present at the one-and-a- half day retreat at the beginning of the program.Tuition for each participant is $2,300. Full tuition for accepted candidates is due by the close of business on Thursday, October 31, 2024.
Indicate Enclosures

Confidential ApplicationResume
I understand the purpose of The Black Leadership Development Program and if I become a participant I will devote the time and energy necessary to make it a successful experience. I accept the responsibility for meeting the above requirements.
Signature*

Clear
Date*

MonthDayYear
Date
We look forward to reviewing your application. Please feel free to call if you have any questions or concerns that are not addressed in this application package. To obtain this application online, visit our website: www.parityinc.org

For Office Use Only

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The Black Leadership Development Program Application

For Office Use Only