2026-27 Emerging Leaders Program Application (ID #8517)The MPCA Emerging Leaders Program is a 7-month program that assembles a select cohort of emerging Community Health Center leaders from across MPCA Member organizations and guides them through a high-level, relevant, and applied curriculum.Please enable JavaScript in your browser to complete this form.YOUR DETAILSName *FirstLastHealth Center *Role/Job Title: *Email *PhoneLeadership Experience and Goals for Participation *Please describe your leadership experience (i.e. Length and type of service at a health center; formal training in leadership, management and/or quality improvement; supervision experience/strengths and challenges in this area; team leadership experience)What specific skills/knowledge do you hope to gain from the Emerging Leaders Program? *TUITION AND FUNDING Participation fee is $500 and health centers must also support travel/hotel/per diem for the 2 in-person meetings. MPCA is paying the tuition cost of FutureSync (our facilitator) for up to 3 per health center participants; class size is minimum of 12 and maximum of 25. This program is by application only, and the application deadline is August 14, 2026. Your leader must sign a commitment form in order for your application to be accepted. You will be notified of your acceptance (or waitlist status, if applicable) by August 21, 2026 and registration fees will be due at that time. SESSIONS (please reserve these dates tentatively, as attendance is required) In-Person Session 1: 12 p.m. September 21 to 12 p.m. September 22, 2026 The Forge Hotel, Anaconda, MT Virtual Session 1: Tuesday, October 27, 2026, 8:30-10 a.m. Virtual Session 2: Tuesday, November 17, 2026, 8:30-10 a.m. Virtual Session 3: Tuesday, December 15, 2026, 8:30-10 a.m. Virtual Session 4: Tuesday, January 19, 2027, 8:30-10 a.m. Virtual Session 5: Tuesday, February 16, 2027, 8:30-10 a.m. Virtual Session 6: Tuesday, March 16, 2027, 8:30-10 a.m. Final Session (In-Person): 12 p.m. April 13 to 12 p.m. April 14, 2027 AC Hotel, Missoula, MT COMMITMENT In order to accomplish the Emerging Leaders Program’s objectives, full commitment and participation of each individual selected is required. Participants must attend all in-person session and those who miss more than one virtual session may be requested to leave the program. No refunds will be given. Full support and encouragement from your employer is required in terms of financial commitment and the time to participate fully in the Emerging Leaders Program. A leadership project is required in order to complete the program. Upload Signed Employer & Applicant Commitment Form * Drag & Drop Files, Choose Files to Upload Your employer must sign this commitment form. http://www.mtpca.org/wp-content/uploads/MPCA-Commitment-Form-PDF.pdfUpload Resume/CV * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Submit