LIA Application

LIA Application

To educate and equip a network of leaders who advocate for Idaho agriculture.
Class 44 Dates:

Moscow: November 6-9, 2023

Idaho Falls: December 4-7, 2023

Twin Falls: January 1-5, 2024

Boise: February 18-23, 2024
Before you begin, please review and check each box to accept the following participant requirements.*

Applicant Information
Name*

PrefixFirst Last
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Phone (Cell)*
Phone (Work)
Email*
example@example.com
Present Employer
Job Title
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I prefer to receive correspondence at:*

Home AddressBusiness Address
Upload Your Resume

You may "Save" a draft of this application and continue later. A link to continue will be emailed to you.
Cancelof

Employment History

Please list prior employment, listing the most recent first.

If this information is included in your resume, please proceed to the following page.
Employment History #1
Employment History #2
Employment History #3

Education

Please list educational background, including high school, college, university, etc. Begin with your highest degree or latest accomplishment.

If this information is included in your resume, please proceed to the following page.

Recommendations

Please upload two (2) letters of recommendation. The letters need to address why you should be selected to participate in the Leadership Idaho Agriculture Program. Also, please complete the information about the people submitting your letters of recommendation.

If you would prefer to send these letters via mail, please mail to:

Leadership Idaho Agriculture

55 SW 5th Avenue, Suite 100

Meridian, ID 83642
Recommendation Letter #1 Upload

You may "Save" a draft of this application and continue later. A link to continue will be emailed to you.
Cancelof
Recommendation Letter #1 Info*
Recommendation Letter #2 Upload

Cancelof
Recommendation Letter #2 Info*

References

Please list three (3) personal references, different from the individuals listed in the “Recommendations” section, that may be contacted. Complete the following information for each of your references:
Personal Reference #1*
Personal Reference #2*
Personal Reference #3*

Leadership Experience

List your past and current leadership involvement - include high school, college, community, government, and employment. Please include the organization, your membership/service dates, and your involvement.

If this information is included in your resume, please proceed to the following page.
Organization | Dates | Involvement
Please type out above or upload a separate document below.
Leadership Experience Upload (optional)

Cancelof

Applicant Photo

Please upload a photo as part of the application process. Current and professional photos are preferred; candid and casual photos are acceptable; group photos and low resolution photos are discouraged.
Photo Upload*

Cancelof
Video Application

Each applicant must submit a 3-5 minute video answering the following:
1. What is your name and where do you live?
2. At the time of making application, what is your employment?
3. Why are you applying for the LIA program?
4. If selected, what are you hoping to gain out of your participation in LIA?
Video Upload*

You may "Save" a draft of this application and continue later. A link to continue will be emailed to you.
Cancelof

Tuition Payment

If you select an option involving sponsor support, please fill out the Sponsor Information so LIA can obtain their e-signature.
Please indicate how you would like your tuition handled:*

I will pay the full tuition amount of $3,000.My sponsor* will pay the full tuition amount of $3,000.My sponsor* will pay a partial tuition amount.
Sponsor Company Name
Sponsor Contact Name

First NameLast Name
Sponsor Email for E-Signature
example@example.com
Tuition Sponsor Amount
Would you like to request financial support from the LIA Foundation?*

YesNo

Participation Commitment

Leadership Idaho Agriculture participants must have the support and commitment of their families and employers as well as the sponsoring business or organization.

By signing below, you and your employer agree to the time commitment of Leadership Idaho Agriculture and you agree to attend every LIA session.
Employer's Contact Name*

First NameLast Name
Employer's Company Name
Employer's Email Address for E-Signature*
example@example.com
Applicant Signature*

Clear
Should be Empty: