Skip to Main Content
Select a Category
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
CGL Participant Application
This form has been modified since it was saved. Please review all fields before submitting.
Credentialed Government Leader Program
Office Street Address
How long have you worked in local government?
MMASC / MMANC Member?
Describe your current responsibilites
Describe your organization (# of employees, annual operating budget, function or services provided)
List your professional honors, awards, and/or volunteer activities
Why do you want to participate in the CGL program and how will it benefit your career growth?
Please describe your career goals
Please upload your current resume
Your application will be submitted to Peckham & McKenney, CGL program administrator, for review. You will receive a response within 10 business days following receipt of your application. Once accepted into the program, you will be invoiced the $75 entry fee.
I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for dismissal from the program.
I understand and agree
I do not agree
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
Submit and Print
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow