Leader Lab - Application - Greater Burlington Partnership

Leader Lab - Application

Thank you for your interest in Leader Lab.

Applications are accepted year-round but must be received by September 25 to be eligible for the next class. Participant selection is determined by a volunteer committee on the basis of a written application, including essay questions. Participants are selected from a cross-section of business, professional, non-profit, and local residents. Acceptance into Leader Lab cannot be guaranteed. Applicants are encouraged to apply again if they are not accepted.

Before filling out the form, be sure to have your completed Letter of Recommendation and Signature Page completed.

Click to download the Signature Page.

For more information, contact Teli Van Rycke or 319-208-0046

Fields marked with an * are required.

Additional Information *

Are you a Greater Burlington Leadership alum? If so, what class (year) were you a part of?

Contact Information

First Name *

Last Name *

Title *

Employer *

Employer Mailing Address *

Employer City *

Employer State *

Cell Phone *

Business Phone *

Business Email *

About You

Briefly Describe Your Work Responsibilities. *

What Are You Hoping To Gain From Leader Lab? *

Describe Any Civic, Business, or Professional Activities You Are Involved With. *

How Can Greater Burlington Be Better?

What Is One Major Opportunity And/Or Challenge You See Facing Greater Burlington? *

Additional Information

Letter of Recommendation *

Please upload your completed Letter of Recommendation.

20MB max

Signature Page *

Please upload your completed Signature Page.

20MB max

Leader Lab Application

Please Fill Out The Information To Apply For Leader Lab

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