Address where you would prefer to be mailed.

Business or Home Address not listed above.

List three previous positions, beginning with the most recent first. Include active military duty, if applicable:

Begin with the most recent, and include high school or equivalent, college(s), and any postgraduate studies.

Please list, in order of importance to you, the nonprofit, civic, professional, business, social, religious, athletic or other organizations in which you are or have been involved. Note: This is an important part of the selection criteria. Include your best examples.

Please answer the following five (5) questions. Please type answers, limiting each to 250 words.

Two recommendation letters should be included with your application. If you are applying with a sponsoring organization, and you are NOT the CEO/President, at least one letter should be from your CEO or senior manager in the organization stating his/her full support of the candidate regarding the time commitment involved and of the financial obligation. The letters are an important part of the selection process and must cite specific attributes they value in you. Persons providing reference letters should address how they know the applicant and the length of their relationship.

If selected for the CORE program, you will be billed $5,600, which covers all program costs. If your tuition is being paid by a sponsoring organization, you must personally pay $560 to demonstrate your commitment.

Payment plans may be arranged and tuition assistance is available based on need. Tuition assistance is considered separately from your application and has no bearing on the Selection Committee's evaluation of your application.

All information will remain confidential. Information on how to complete the Tuition Assistance Form will be provided in your confirmation page and must be submitted with the application.

I understand that graduates of Leadership Montgomery are encouraged to maintain membership in the organization and to stay involved with LM through events, committees, and other membership opportunities. If selected, I agree to secure payment for the entire nonrefundable tuition of $5,600 by Friday, August 20, 2021 and meet all the attendance requirements as outlined in the application.

If you are the authorizing party and/or you plan to pay for the program tuition yourself, you do not need to complete the information below.

Upon submission of your application, a confirmation email will be sent to you, which will include a link to pay the CORE Application Fee of $200.