Please list schools attended, area of study, and degrees/diploma received. Please include any professional or training programs attended.
Please list your last three places of employment, dates of employment and position held.
Please list any other organizations in which you are currently involved (e.g., other community, civic, professional, business, religious or social organizations, athletics, etc.)
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.
FINANCIAL & PARTICIPATION REQUIREMENTS
Participants are expected to meet the financial requirements, as well as participation requirements.
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.