Glass Leadership Institute Application GLI Application 2020 First Name:*Last Name:*Pronouns:She/Her/HersHe/Him/HisThey/Them/TheirOtherEmail Address:*Phone:*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Work Info:*Community organizations and/or initiatives you've been involved in (please include any leadership positions held and years of involvement).*Any dietary restrictions? (Glatt Kosher, Non-dairy, Glutton-free, Vegan, Vegetarian, Allergies/other (please list)).Please Upload a Copy of Your CVPlease Upload a HeadshotName a nominator to GLI Program or any connection to ADLWhy are you interested in the Glass Leadership Institute? What do you hope to gain from participating in the Glass Leadership Program?*ADL's mission since 1913 has been "to stop the defamation of the Jewish people and to secure justice and fair treatment to all." Why is this mission important to you? What is an injustice today you feel committed to helping solve?*Tell us a little bit about yourself. For example, where did you grow up? What are some important identities you carry? Any hobbies or fun interests?*
