2022 - 2023 Kettering Leadership Academy ApplicationKettering Leadership Academy

If you have any questions, please reach out to the Kettering Volunteer Office at 937-296-2433.

Deadline to apply for the Class of 2023 is Monday, July 18, 2022.

  • BACKGROUND INFORMATION

  • Name * Required
  • Address * Required
  • Business Address * Required
  • EDUCATION

    Please list schools attended, area of study, and degrees/diploma received. Please include any professional or training programs attended.
  • EMPLOYER

    Please list your last three places of employment, dates of employment and position held.
  • COMMUNITY INVOLVEMENT

  • Please list any other organizations in which you are currently involved (e.g., other community, civic, professional, business, religious or social organizations, athletics, etc.)
  • GENERAL

  • REFERENCES

    Please list below the three persons who may be contacted as a reference for your application. Please choose individuals who are familiar with your leadership / volunteer interests and activities.
  • Name * Required
  • Name * Required
  • Name * Required
  • FINANCIAL & PARTICIPATION REQUIREMENTS

    Participants are expected to meet the financial requirements, as well as participation requirements.
  • The cost of this Academy is $650.00. Do you have a sponsor? * Required
  • Participants are expected to attend all sessions (two-day opening retreat and seven full-day classes once a month). Those missing more than two sessions will be denied graduation and asked to withdraw from the program. Will you be able to fulfill the required time commitment? * Required
  • COMMITMENT

    By checking this box, I understand the time commitment involved upon being selected for The Kettering Leadership Academy. If selected, I am willing to devote the time and energy needed to be a contributing member of the class. I understand that if I fail to meet the obligations of the Academy I will be asked to withdraw from the program and my tuition will not be refunded. I verify that the information provided on this application is true to the best of my knowledge.
  • * Required
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