Cohort 2021 Virtual Registration:  January 7, 2021

Seeking Leaders - Innovators and Change Agents...Are we talking about YOU?

Initiating its 9th year of effective and dynamic innovation (2012-2021), California Innovation Playbook for Government Change Agents (Cal-IPGCA) - Cohort 2020, is an immersive experiential learning environment where trainees re-imagine State of California enterprise-wide challenges from a whole-systems perspective to create tangible innovative solutions. Far more than a training program, Cal-IPGCA creates a testbed for developing and implementing best available practices and innovative solutions.

Synergizing participation across all levels of government, from entry-level to senior executives, trainees work in cross-functional teams to develop moonshot projects. At the culmination of the project, each cohort produces an innovation playbook to improve our state’s essential functions. These playbooks include best practices, lessons learned, and a full breadth of analytics. Previous Cal-IPGCA cohort playbooks are available online at www.cal-ipgca.org. (Individual playbooks are also awarded to each trainee, reflecting personal training journey.)

Who should apply - Who should attend?: Cal-IPGCA’s success is fueled by its multi-generational, diverse, topnotch professional integration. Trainees accepted into the program represent a broad spectrum of organizational levels.

Cal-IPGCA is designed for Government Employees and Technology-based Academia, Private Enterprise, and NGOs representing:

Line staff who are rising stars with management potential
First-line supervisors
Middle managers, executives, and executive leadership
Regional and Local Government
Technology-based private sector companies and individuals - leaders, change-agents, data analysts, coders, app developers, etc.
Non-governmental Organizations (NGOs)

How to apply?

Review the program brochure
Curriculum and Cost
More extensive information is available at www.cal-ipgca.org.
The responses in the application determine how trainees are assigned to innovation teams for Cohort 2021.

Registration Deadline:

Registration will close Tuesday, January 5, 2021, at 5:00 PM.

1.Applicant Information(Required.)

Agency/Dept/Entity Name:

Applicant's First Name:

Applicant's Last Name:

Applicant's Title:

Applicant's Business Mailing Address:

City:

State:

Zip Code:

Email Address:

Work Phone Number:

Cell Phone Number:

2.How many years have you been employed by the State of California, if applicable?(Required.)

3.I am submitting this application to be considered for the following opportunities: (Meets the State of California’s biennial leadership training requirements. (GC 19995.4.)(Required.)

As a full-time trainee: (86 Professional Development Hours @ $3350 Per Trainee.)

As a full-time trainee: (86 Professional Development Hours @ $3350 Per Trainee; under a scholarship offered through the Cal-IPGCA Association, APSEA, OD4CA or NXTGov, per below.

As a Facilitation Assistant: e.g., 1 of 8 training positions under Cal-IPGCA 2021; (102 Professional Development Hours @ $3350 Per Trainee.)

As a Private-sector Entrepreneurial Partner, Non-governmental Organization (NGO), Academic Institutional Participant: (86 Professional Development Hours @ $3350 Per Trainee.)

Skills Bank Beta-Test Applicants: A department/entity submitting applicants as Skills Bank Beta-Testers for Cohort 2021 must have one registered applicant registered for Cohort 2021. With this requirement met, a department/entity is allowed an open-ended number of Skills Bank Beta Testers at $100 per Beta Tester. Minimum SACNetwork Skills Bank Participant for Activation: 7500 participants minimum - Maximum participants: 200,000.

Note: Skills Bank Beta Testers are registered under a separate application.

4.Please indicate if you are an active member of the following California organizations. (Check all that apply.)(Required.)

5.Applicant's Direct Supervisor/Manager: (Note: The applicant's direct supervisor/manager will have an "audit only" seat to review the trainee's progress. The supervisor MUST approve the applicant's registration.)(Required.)

Agency/Dept/Entity Name:

Supervisor/Manager First Name:

Supervisor/Manager Last Name:

Supervisor's/Manager's Title:

Business Mailing Address:

City:

State:

Zip Code:

Email Address:

Phone Number:

6.Status of Supervisor's/Manager's Awareness of this Submission:

Note: If a government registrant, applications cannot be approved without supervisor approval.(Required.)

Yes

Does not apply.

My supervisor/manager recommended and/or approved the submission of this application.

Yes

Does not apply.

My supervisor understands that this is fee based training and has agreed the training fee has been allocated for my attendance.

Yes

Does not apply.

10.If applying as a full-time trainee, are you electing to include the USC 360-degree professional development assessment + two-45 minute Executive Coaching Sessions?

Note: This represents an "add-on" fee of $550. This is a significantly discounted rate offered to Cal-IPGCA full-time trainees by USC. Scholarship applicants EXCLUDE this program option. It can be added at an additional cost. (Required.)

Yes, please add the USC 360 Professional Development Assessment and Executive Coaching Package to my curriculum. (Your department will be invoiced for this service in conjunction with your training package.)

I am a scholarship applicant and do not qualify for this program option.

No, do not choose to elect this package.

11.Explain why you want to be considered as a Cal-IPGCA Leader, Innovator and Change Agent trainee, (or Assistant Facilitator) for Cal-IPGCA Cohort 2021. Your response is very important. It quantifies your motivation to be considered for acceptance. (Required.)

12.Should you have questions or comments, please identify in the space provided below.

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Cohort 2021 Virtual Registration: January 7, 2021 - June 10, 2021

Seeking Leaders - Innovators and Change Agents...Are we talking about YOU?