Leadership Northern Colorado Application

As Leadership Northern Colorado functions as an extension of local Leadership programs, graduates of Leadership Fort Collins, Leadership Loveland and Leadership Weld County are encouraged to apply. In addition, individuals who are leaders within their own organizations, and who desire to make a long-term impact on the region, are encouraged to apply. Only 30 individuals will be selected to participate each year.

A 2012 Leadership Northern Colorado application can be downloaded HERE or completed online below. Applications must be submitted to info@LeadershipNorthernColorado.com by Tuesday, November 1, 2011 at 5pm.

Leadership Northern Coloradowill be providing partial scholarship opportunities for individuals participating in the 2012 program.  The scholarship form should be completed and returned with your Leadership Northern Colorado application.  Download a copy of the scholarship form HERE.

Leadership Northern Colorado Registration Form

Note: A *(star) at end of label and field shaded red indicate required fields. Click (help) next to label for additional information
Name:
Title:
Employer
E-mail:
Business Address:
Home Address:
Business Phone:
Home Phone:
How Long in the Northern Colorado Region
Are you a graduate of a local leadership program? Leadership Program Graduate? Program Year Graduated
Upload Resume
Essay Questions. There is a limit of 7000 characters for entire essay submission. Currently 1. Why do you want to participate in the Leadership Northern Colorado program? 2. What is your perception of how the Northern Colorado region is currently working? 3a. What strengths would you bring to the Leadership Northern Colorado program? 3b. What specific skills/knowledge do you hope to gain from participating in Leadership Northern Colorado, and how will you use the skills/knowledge to benefit the community? 4a. Briefly describe the volunteer and community activities in which you have participated (include offices held, awards won, and any recognition received). 4b. What has been the most valuable learning experience from those involvements and why? 4c. What personal and professional goals do you envision for yourself as a contributing leader in the community?
Accept Terms:
I am aware of the attendance commitment required by Leadership Northern Colorado and my organization is supportive.
	Submit My Registration