2025 Public Service Leadership Course Application

2025 Public Service Leadership Course Application
Polk Vision’s Public Service Leadership Course is designed to carry forward the legacy of exceptional leadership that has made Polk County a distinctive, prosperous, and vibrant community. This course is for those eager to run for elected office, serve on government boards and commissions or serve in a civic, public or nonprofit leadership role. Through an engaging curriculum, participants will be equipped with the necessary tools to impact public policy and enhance their effectiveness as engaged citizens.

Overview

The course is free of fee to qualified participants and includes four full-day sessions held at various locations across Polk County on the following dates:
- January 31, 2025
- February 14, 2025
- February 28, 2025
- March 14, 2025
Participants must commit to being fully available to attend all four of the day-long sessions. Those unable to make this commitment should apply in a future year.

Application Requirements

Polk Vision’s Public Service Leadership Course requires that:
- Applicants be a current resident of Polk County.
- Applicants are not currently serving in an elected position or running for office.
- Applicants complete an online application which includes:
  - Completion of several short essay questions
  - Submitting optional (but strongly encouraged) supplemental information at the end of your application:
    
    Your resume
    
    Up to two letters of recommendation (no more than 2 will be reviewed)
Applications will close on Friday, January 3, 2025.

Full Name*

First NameLast Name
Preferred Name:*
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Phone

Area CodePhone Number
Cell Number*

Area CodePhone Number
Preferred Email*

Confirmation Email
Preferred Phone*

WorkCell
Preferred Address*

WorkHome
Birthdate

MonthDayYear
Date

Employment Information
Current Employer
Job Title
Start Date
Job Description

0/50

Community Connections
Please list any leadership roles you currently hold or have held within the past five years in professional, business, civic or social organizations.
In addition, please describe any accomplishment(s) that resulted from a leadership role in a professional, business, civic or social organization (not including employment) within the past five years.
If these question does not apply to you, do you plan on becoming more engaged in the community? How? In what area(s)? Do you have a strategy or timetable for involvement?
Community Vision
Keep in mind that your answers to the questions below are the only tool the Selection Committee has to learn about you. Give yourself enough time to complete the questions thoughtfully.

Although the boxes are large, your answers will be limited to 500 words. This text box will track the number of words for you.
What assets and strengths do we have in Polk County that you are proud of?*

0/500
What challenge(s) facing Polk County are you most passionate about, and why?*

0/500
Please describe what you view as the most important LOCAL public-policy issue (or issues) facing the community where you live or work and your proposed solution:*

0/500

Personal Statement
(REMINDER: Although the boxes are large, your answers will be limited to 500 words. The text box will track your number of words for you.
Why do you want to participate in this Public Service Leadership Course? What do you hope to gain?*

0/500
How will you utilize and apply what you learn and experience in the program?*

0/500
Headshot
Please upload a headshot in.JPEG format. The photo must be high resolution (at least 2" x 3" and 300dbi). *

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Application Agreement
If invited to participate in the program, do you understand that full attendance during all four sessions for the ENTIRE program is mandatory for acceptance into the program?*

YesNo
I understand that attendance requirements are strictly enforced in order to maintain the integrity of the program and respect the commitment made by other program participants and applicants.*

YesNo
By digitally signing below, I agree to be bound by this commitment if I am selected for the Public Service Leadership Course. *

Clear
Supplemental Materials
Please upload your resume (Optional, but strongly encouraged):

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Please upload Letter of Recommendation #1 (Optional, but strongly encouraged):

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Please upload Letter of Recommendation #2 (Optional, but strongly encouraged):

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