Greater Burlington Leadership - Application

Thank you for your interest in Greater Burlington Leadership.

Applications are accepted year-round but must be received by July 15 to be eligible for the next year's 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 Greater Burlington Leadership 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 Melissa Jones or 319-208-0052

Fields marked with an * are required.

Greater Burlington Leadership Application

Please Fill Out The Information To Apply For Greater Burlington Leadership.

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 Greater Burlington Leadership? *

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

Greater Burlington Leadership - Application

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