DMV Diversity and Inclusion Fellows Pilot Program Application

Application Deadline: Completed application and application fee of $100 are due no later than 9:00am on June 17, 2019, but due to initial interest, early submission is encouraged.  Limited scholarships are available for the pilot program and should be requested via email inquiry to

  • Applications may be submitted online at, by email to or mailed to 4420 N. Fairfax Drive, Suite 102, Arlington, VA 22203. The Application fee must be included when the application is submitted. The website will automatically redirect you to the payment page once you have submitted the application.
  • Application fees may be paid online at Checks should be made payable to Leadership Center for Excellence and sent to 4420 N. Fairfax Dr., Suite 102, Arlington, VA 22203

Program Tuition: 

Tuition for DMV Diversity & Inclusion Institute's Pilot Program is $4,000. Tuition covers program day materials, meals and facilitation. Tuition is payable by check, VISA, MasterCard, Discover and American Express. 

Personal Information
Contact Information
Employer Information
Beginning with your most recent, please list your employment history:
Begin with the most recent
Please list other relevant accomplishments, honors, offices held and activities (including work-related).
All Questions must be Answered
I understand the mission of Leadership Center for Excellence and the importance of pilot program participation. If selected, I acknowledge the time commitment and will pay tuition by June 21, 2019. If I am unable to comply with the requirements, I will voluntarily withdraw from the program. I understand that in the interest of the class experience for all participants, any participant may be removed from the class if, in the opinion of Leadership Center for Excellence, that participant’s conduct is not conducive to the work of the group. I further understand that tuition is not refundable in whole or in part.