• Flagship Class of 2023 Application

  • Information Regarding this Application

    Thank you for applying to enroll in our Flagship program! Please complete the application below. Fields with an asterisk (*) are required.

    Please request the Employer Statement of Support from your employer and contact your reference promptly to avoid a delay in submitting your application. Copy this link for the Employer Statement of Support. Copy this link for the Character Reference form. (If you are self-employed, you do not need an Employer Statement of Support.) You should email the appropriate link to your employer or your character reference contact so they can fill out the forms right away. Once they complete the forms, PDF copies will be emailed to you. Please have your Employer Statement of Support and Character Reference forms ready to upload. You are required to attach the necessary forms in order to submit your Flagship application. 

    Vaccination Status
    Leadership Winston-Salem requires proof of COVID-19 vaccination for all program participants (class members, committees, staff, board, and volunteers). If selected into the program, we require a copy of your updated vaccination card or other proof of vaccination. If you have a religious or medical exemption, please notify the Flagship Program Director, April Garner, at april@leadershipws.org.

    Save Your Progress
    If you need more time to complete the form, you can save it at any time by clicking the "Save" button at the bottom of the page. You can return to finish the form at your convenience.

    When you click "Save," you will be prompted to create a Jotform account, but if you do not wish to do so, click the "Skip Create an Account" link at the bottom of the window. You will be prompted for an email so they can send you the link without creating an account.

    If you have any technical issues with this form or its submission, please contact the LWS Administrative and Technology Director, Jared Steward, at 336-723-1002 x1200 or admin@leadershipws.org.

    Application Deadline
    This application is due no later than June 22, 2022.

  • Preliminary Information

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  • Candidate Information

  • Please enter your birth month and date .
    For ex. April 21

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  • Employment Information

    If you are self-employed, indicate as such and fill in as much information as possible.
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  • Interest and Reflections

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  • Supporting Documents

  • Required Supporting Documents

    Please attach the supporting documents required to validate your application. Your application is considered incomplete and will not be accepted without the completion and upload of these forms. If you are self-employed, you are not required to provide the Employer Statement of Support; however, a Character Reference is still required.

    Copy this link for the Employer Statement of Support. Copy this link for the Character Reference form. Your reference and/or employer will need to supply your email in these forms. Once they complete the appropriate form, you will receive a PDF copy of the form to the email address they provided which you can attach below.

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  • Flagship Tuition Assistance

    The tuition for the 2022-2023 Leadership Winston-Salem Flagship program is $3,000. The policy of Leadership Winston-Salem is to provide a limited amount of tuition assistance to accepted candidates who demonstrate a financial hardship that would prevent program participation. Award amounts are limited and are distributed on a "first-come, first-served" basis. Approved tuition assistance is granted for up to half of the cost (up to $1,500) for the program.  

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