"Leadership Springfield alumni bring the knowledge of the community and important networking abilities to nonprofit boards in a way that is productive and significant."

 

-Emily Fox, CEO, Discovery Center of Springfield, Class XV

Application

Leadership Academy Application

Applications are now being accepted for the upcoming year.  Deadline to apply is April 18, 2008.

Please complete the following form to be considered for the Leadership Springfield Academy.

Please download the Parents Release Form/Counselor/Faculty Member form.

 

Name:
Address:
City:
State:
Zip:
Telephone Number:
Email Address
Parent's Email Address:
School:
Grade Next Year:
Sex:
Female
Male
Have you applied for Leadership Springfield Academy previously?
Do you work?
Where do you work?
How many hours per week?
What do you do on the job?
How long have you been working there?
What are your hobbies/interests?

List, in order of importance to you, school and non-school activities that you have participated in or have been a member of:

Activity/Organization Dates of Participation Positions Held
What leadership skills would you hope to develop during this program?
What activity or leadership role have you enjoyed the most and why?