Leadership Fort Wayne class of 2022 Application

Leadership Fort Wayne Class of 2024 Application

Prepare - Inspire - Impact
Leadership Fort Wayne is a nine-month program that trains, prepares, and inspires individuals to drive positive change in Fort Wayne-Allen County. Since 1983, more than 1,500 Leadership Fort Wayne alumni have gone on to make a significant impact in our community and beyond. Wherever you are on your leadership journey – emerging, seasoned, or somewhere in between – the LFW program can help you reach your full potential!

If you have not done so yet, please visit the Leadership Fort Wayne website to review program information, qualifications, expectations, and key dates.

Questions? Contact Meghan Short, Director of Investor Programs, at mshort@gfwinc.com or 260-203-5766.

APPLICATION DEADLINE: Oct. 16, 2023

Estimated completion time: 1-2 hours

Note: You can SAVE, SUBMIT, or PRINT your application by expanding the final section at the bottom of this page. If saving your progress to complete at a later time, you will be sent an email with a link to access your application and pick up where you left off.

Employment Information
Present Employer/Organization*
If you are currently not employed, please type N/A in this box and the remaining boxes that are required.
Title*
Date of Hire*

MonthDayYear
Current Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Phone Number*

Area CodePhone Number
Work Email*
example@example.com
Which industry category best describes the area in which you presently work/serve?*
Accounting, Construction, Education, Hospitality, etc.
Current Supervisor*

First NameLast Name
Current Supervisor Phone Number*

Area CodePhone Number
Current Supervisor Email*
example@example.com
Upload your current resume to include employment and education history.*

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Professional Recommendations
Please list two individuals who are knowledgeable about your community service, leadership performance, and potential. We encourage one of these recommendations to be from a LFW alum; however, that is not required.
Recommendation #1*

First NameLast Name
Title*
Company/Organization*
Email*
example@example.com
Preferred Phone Number (Office or Cell)*

Area CodePhone Number
Is this person a LFW alum?

YesNoI'm not sure
Recommendation #2*

First NameLast Name
Title/Responsibility*
Company/Organization*
Email*
example@example.com
Preferred Phone Number (Office or Cell)*

Area CodePhone Number
Is this person an LFW alum?*

YesNoI'm not sure
Upload one letter of recommendation from either of the above individuals. *

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Education & Specialized Training
List any special awards, honors, continuing education, or specialized trainings / certifications you have earned or received. (250 words max)

0/0

Community Service
Please list up to three (3) active or former servant leadership / community service roles. If you are new to Fort Wayne-Allen County, you may include roles from previous communities.
Organization #1*
If not applicable, type N/A.
Service Term*
e.g. January 2023 - Present. If not applicable, type N/A.
Title/Responsibility*
If not applicable, type N/A.
Organization #2
Service Term
i.e. January 2022 - Present
Title/Responsibility
Organization #3
Service Term
i.e. January 2022 - Present
Title/Responsibility
What do you consider to be your most important community service accomplishment to date? (100 words max)*

0/100
What types of organization boards or committees would you like to become active with in the next 12 months? (100 words max)*

0/100
If you have not been actively involved in community service in the past, what conditions have changed that now enable you to seek servant leadership opportunities? If not applicable, type "N/A" in the box. (100 words max)*

0/100

Short Answer Responses
Why do you want to participate in the Leadership Fort Wayne program? How or what do you feel you can contribute to the program and participants? (200 words max)*

0/200
If selected, what do you hope to gain from your participation in the program? (100 words max)*

0/100
If selected, what leadership skills would you like to improve upon and/or learn about? (100 words max)*

0/100
What do you view as the three (3) most notable assets of the Fort Wayne - Allen County region? (100 words max)*

0/100
What do you view as the three (3) greatest issues and/or challenges facing the Fort Wayne - Allen County region? (100 words max)*

0/100

Program Tuition
Leadership Fort Wayne tuition covers the cost of 10 program day meals, class materials, and scheduled activities/tours. If selected as a participant of the Leadership Fort Wayne program, tuition payment can be made by either the participant, employer/organization, or sponsoring individual(s). A limited number of Designated Seat Sponsorships* are available to GFW Inc. investors only on a first-come, first-served basis. Payment is due in full before the program Orientation on January 18, 2024, or as otherwise instructed if a payment plan is requested.

Current GFW Inc. Member Employee = $2,500 (To confirm whether or not your organization is a member, visit our member directory here.)

Non-GFW Inc. Member Employee or General Applicant = $3,000

*Contact Meghan Short at mshort@gfwinc.com to learn more.

Please enter billing information below (i.e., where we should send the tuition invoice for payment).
Name*

First NameLast Name
Email*
example@example.com
Title*
Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Tuition Assistance

Community and alumni support makes it possible to offer limited financial assistance to those in need, removing barriers to participation and encouraging greater diversity and inclusion for individuals of all abilities. Tuition assistance requests are considered only after the class selection process is complete and will in no way impact consideration of your Leadership Fort Wayne application.
Do you wish to make a request for financial assistance in order to participate in Leadership Fort Wayne?*

YesNo
If yes, please include the amount you are requesting and briefly share how being in the LFW program could add value to your personal and professional development. (100 words max)

0/100

Applicant & Employer Commitment
Leadership Fort Wayne is a significant commitment of time, focus, and energy. Employers are asked to commit to and provide their full support of the candidate during their time in the program. Participants are required to communicate the program expectations below and share the event calendar with their supervisor, as needed.
- Attend the mandatory two-day orientation in January
- Attend at least 75% of the eight monthly, full-day sessions thereafter (February-September)
- Complete pre-work class assignments (1-2 hours/month)
- Participate in a Community Action Project (meetings built into monthly classes + 2-6 hours/month)
- Serve as an intern on a local nonprofit board for 6-12 months upon graduation
If you fail to meet the obligations and expectations of the program, you may be asked to either withdraw from the class or make up missed sessions the following year. Program tuition is non-refundable should you withdraw or be unable to complete the above requirements.
By typing your name in the box below, you signify your electronic signature and agree to the above statements. *
First and Last Name
Please upload a letter of support from your direct supervisor or employer acknowledging that they have reviewed the program calendar dates and expectations, and are in full support of your participation if selected. *

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Leadership Fort Wayne Class of 2024 Application

Demographic Questions

Tuition Assistance