Apply for Proud River Leadership Academy

2025-2026 Application for Participation

Applications will be accepted July 15 through August 15, 2025. The selection committee will review applications and notify selected participants. The first class will begin in September.

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Thank You for Your Application

We look forward to reviewing your application. Selected participants will be notified in August about their participation in the program.

First Name

Last Name

Your Address

Address Line 1

Address Line 2

City

ZIP Code

How can we reach you?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address

Confirm Email Address

Your Phone

Employment History

Current Employer

Title

Employer Address

Employer Phone

Employed From:

Previous Employment:

Previous Employer

Title

Employer Address

Employer Phone

Employed From:

Previous Employer

Title

Employer Address

Employer Phone

Employed From:

Education

Please list all educational accomplishments, including high school diploma or GED. Please include all vocational, college or university programs, regardless of completion, and any diplomas, degrees, or certificates earned.

Essay

Please list up to five community, civic, professional, religious, school and other activities in which you are now or have been involved.

Please explain why you would make a good candidate for the Proud River Leadership Academy.

What do you hope to take away from this program?

How did you hear about this program?

Have you already established support from your employer/organization to attend Proud River Leadership Academy?(required) Yes No

Name

Date

Have you applied to attend the course previously?(required) Yes No

Attendance

By signing below, you acknowledge that attendance in this program is mandatory and unexcused absences can be grounds for dismissal.

Notes or Questions for the Program?