Leadership Wilson » Apply Online – Leadership Wilson Online Application

Apply Online – Leadership Wilson Online Application

Fill out our form below to apply online for Leadership Wilson.

Leadership Wilson Online Application

Contact Information

First Name *

Last Name *

Middle Name

Nick Name

Preferred Name

Home Address (Street) *

Home Address (Box / Suite / Etc.)

Home Address (City) *

Home Address (State) *

Home Address (Zipcode) *

Email Address *

Phone Number *

Employer Information

Employer *

Employer's Address (Street)

Employer's Address (Box / Suite / Etc.)

Employer's Address (City)

Employer's Address (State)

Employer's Address (Zipcode)

Briefly describe your responsibilities. *

Commitment

How long have you lived in Wilson County? *

Have you been as active in community, civic, professional, and other activities as you would like? *

Yes

What activities are you currently involved in? *

What have been the major barriers to you getting more involved, and what has now changed to allow you to seek involvement? *

Education

Please outline your academic background and training.

High School *

College

Graduate Level

Special awards, honors, or prizes for academic performance

Extracurricular activities and special honors awarded for leadership activities

Participation

In order to accomplish our objectives, the full participation of each individual selected is necessary. Attendance is mandatory at the two-day retreat and eight monthly class sessions.

Will you be able to fulfill this commitment? *

Yes

Do you have the support of your employer for the time required to participate in Leadership Wilson? *

Yes

Why should you be selected to participate? *

What do you hope to gain, and how do you expect to utilize your Leadership Wilson experience? *

Community Analysis

Please identify a particular challenge, issue, or problem you feel is critical to the Wilson County area. Explain your concern and possible involvement in the solution of this issue *

Submission

If accepted to the program, tuition must be paid prior to the program start.

To complete you submission, please sign the application by typing your full name, including middle initial.

Signature *

Please answer the security question below to verify that you are a real person.

What COLORS are in the United States of America Flag?

Answer

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Apply Online – Leadership Wilson Online Application

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Apply Online – Leadership Wilson Online Application

Apply Online – Leadership Wilson Online Application

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