"Being named the 2004 Kenworthy Leadership Award recipient meant so much to me, because I feel like it was a vote of confidence for all volunteers who are leaders, especially those of us who, though we are not employed, spend countless hours working to improve life for others and are able to make a difference in our community."

-Mary Kay Ross, 2004 Kenworthy Award recipient, Class X

Alumni renewal form

Your dues of $60 help to:

  • Provide a quality leadership program for 30 emerging community leaders.
  • Provide unparalleled leadership Academy for 30 high school students.
  • Provide continuing education for our community on important topics.
  • Provide resources for Leadership Springfield graduates.

Membership Information

Name
DOB (mo/day only)
Title or Responsibility
Class #
Business/Employer
Mailing Address
Zip Code
Business Phone
Business Fax
Spouse
Email Address

List current community and civic organizations and corporate boards of which you are a member.

Organization and Position Held (Please limit to 5)

Membership Dues

Please mail check for $60 to:
Kim Everest, Leadership Springfield
PO Box 1687
Springfield, MO 65801

Payment of dues includes your lunch fees for all Continuing Education luncheons.

Credit Card payments accepted. Please contact Kim at 417-862-5567.