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CLC Application Form

Please fill out the application form below to be considered for either our Northern or Southern California CLC program. We have certain business criteria we'd like our members to meet, however we will review each application individually. Feel free to contact us with any questions. Once received, we will be contacting you about next steps. Thank you for your interest!
Name*
Gender*
Please select the meeting location you'd like to attend CLC workshops at.
MM slash DD slash YYYY
Please check the following boxes that apply:*
Have you attended a Productive Learning Workshop before?*
(Year of workshop is fine)