•Participants will be chosen by the Selection Committee based on application materials submitted by program candidates. The selection committee strives to recruit candidates from a representative cross-section of the Willmar •Lakes Area, Kandiyohi County.
•Participants must have motivation, interest, and a commitment to serve the community.
•Individuals living or working in the Willmar Lakes Area, Kandiyohi County, are eligible to participate. A maximum of 30 candidates will be selected to participate in the Vision 2040 Leadership Class of 2017.
•Participants are expected to attend all the sessions and activities associated with them in various communities throughout the Willmar Lakes Area.
•Applicants should present evidence of past or current community involvement and demonstrate a willingness to commit themselves to active volunteer involvement in the community.
•Program Candidates must demonstrate an ability to achieve personal goals and have time available to dedicate to community service as well as a personal commitment to the Willmar Lakes Area.

•Applicants are expected to serve and strengthen the area upon completion of the program.
•Although some employers may have an internal selection process, submitting an application does not guarantee a position in the Vision 2040 Leadership Class.
•The selection committee may be unable to place all eligible candidates, even if these applicants have demonstrated excellent credentials. These applicants are encouraged to reapply for future programs.
•Assignments outside of class sessions may be required. If selected as a participant, applicants will be expected to attend all sessions and complete program assignments.
•Applicants shall certify that the information provided on the application is true and complete, and agree that falsified information or significant omissions may disqualify a candidate from further consideration by the Selection Committee. Such behavior may be considered justification for dismissal from the program if discovered after admittance.

First Name:

Last Name:

Address

City

State

Zip

Preferred PhoneHomeWorkCell

Preferred Email Address
Is an organization/business sponsoring you? YesNo  
If yes, Organization Name
Sector Organization Represents:
Number of years in the Willmar Lakes Area:

Gender:FemaleMale

Age:Under 40Over 40

Race/Ethnicity (select all that apply):
Please list any previous leadership programs you have participated in.

Please list ways that you are engaged in your community.

Is there anything that would prevent you from participating in all scheduled sessions?
YesNo
If yes, please explain below:


How did you learn about Vision 20/40: Leadership?

PERSONAL STATEMENT AND LEADERSHIP UNDERSTANDING
What do you want to gain from your Vision 20/40 Leadership journey? Include personal, professional, and community expectations.

How will you use the leadership training you receive to benefit your community?

Please share any other information you would like the selection committee to know about you or your community involvement.

Please check each that applies (* are required):

*I understand that completion of this application does not guarantee placement in the 2016 Vision 20/40: Leadership Program. Submission deadline for applications is August 5th, 2016. Applicants will be notified of selection by August 22, 2016.
* I understand that tuition in the amount of $750 is due upon acceptance to the Vision 20/40: Leadership Program and must be received prior to the beginning of the class on September 1, 2016.
I represent a small business, nonprofit organization, or am self-employed. Please consider my application for tuition assistance.
I represent a minority population. Please consider my application for community diversity funds.
* I have read the policies for Vision 20/40: Leadership and understand the expectations for participation in the program.

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