Leadership Application Form

Application Form

To be filled out by potential participant
About Juneau County Leadership Program

JCLP The Juneau County Leadership Program’s vision is to facilitate the advanced education and empowerment of emerging leaders for professional, personal, and community enrichment. The program’s primary goal is leadership building and the development of each participant’s natural talents.

The Leadership Program welcomes existing and emerging leaders and encourages and celebrates participants’ diversity in race, age, philosophy, location, and personal and professional backgrounds.

The Juneau County Leadership Program meets for 10 months on the third Tuesday of each month with graduation on the last session. It begins with an overnight retreat at Upham Woods in southern Juneau County. The remaining months consist of one-day workshops, seminars, and/or tours that provide participants access to programs, businesses, communities, and governmental influences in Juneau County, encompassing a broad perspective on personal, political, economic, and social issues affecting the County in classroom settings and field experiences. JCLP participants will receive a heightened awareness of County issues, networking opportunities, and leadership development skills for personal and professional growth
Application Process

January 1st - applications open

July 1st - applications are due

Interviews with the Leadership Program Committee will be scheduled for July.

Applicants will be notified of acceptance status in August

The program fee of $550 is due before the first session in September. Participants may be sponsored by a local business or civic organization or funded individually. If financial assistance is essential for your participation, or you must set up a payment plan, please contact the program facilitator.
Eligibility

Applicant:
- - Demonstrates leadership potential
  - Agrees to attend all scheduled sessions. Attendance is vital for gaining the information regarding issues that affect the citizens of Juneau County.
    
    With the exception of illness of participant or immediate family
    
    Communicate, as soon as possible, of any absence from the program
    
    Make-up work should be completed before the next session
    
    Session dates are 9/16/25 & 9/17/25, 10/21, 11/18, 12/16, 1/20, 2/17, 3/17, 4/21, 5/19, and 6/16.
    
    Sessions begin at a different location each month.
    
    Sessions begin between 8 and 9 a.m. (this will be noted on your agenda) and end at 5 p.m., with the exceptions of September, which is two days with an overnight stay, and June, which will be extended a few hours during our trip to Madison.
    
    Agrees to complete all session homework
    
    average of 3 hours/month
  - Obtains employer approval before applying
    
    Letter of approval to be emailed to JuneauLeadership@gmail.com before the first session
    
    If you are self-employed, realize you are committing to devote ten full days away from your business.
  - Grants permission to use thier photo for promotional and educational purposes by the Juneau County Leadership Program.
    
    Photos may be used in print and online, including social media.
  - Provide a driver's license or ID and consent to a background check in order to participate in outings such as visiting the military base and correctional facility.
  - Willing to create a community project that will improve or enhance a local community
    
    Help is available
    
    Projects may be one-time or ongoing
    
    Projects may be completed solo or with others from the group or community
Questions or concerns can be directed to

Juneau County Leadership Program Facilitator- Jessica Bilski 608-542-0880 JuneauLeadership@gmail.com
Consent

By continuting in the application proccess you agree that you uderstand all of the above, agree to the process, and are eligible as stated.

About you
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Ethnicity

Hispanic/LatinoNot Hispanic/LatinoPrefer not to answer
Race
Do you require any accommodations for disability to be able to participate in this program? If so, briefly describe here.
Tell us about yourself. *
What personal goals do you have for applying to this program?*
List any community, civic, professional, or other organizations or activities in which you are active.*

About Your Work
Your Current Employer
Years employed there
Direct Supervisor's Name

First NameLast Name
Supervisor's email
example@example.com
Job description

Please provide two references the selection committee can contact.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How you know them
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How you know them

Please share your thoughts on three issues facing Juneau County and your thoughts or ideas for addressing them.
One*
Two*
Three*
Feel free to think nationally or state wide if you can not think of another issue inside of Juneau County
Should be Empty:

Application Form

Questions or concerns can be directed to

Consent

About you

About Your Work

Please provide two references the selection committee can contact.

Please share your thoughts on three issues facing Juneau County and your thoughts or ideas for addressing them.