Leadership Lakeland Nomination Form - Class XXXVIII (38)

Leadership Lakeland Nomination Form - Class XLII (42)

Open February 27, 2025 - March 27, 2025 (by 11:59 p.m.)
DONT FORGET!

Think Big: Identify outstanding individuals (including yourself!) who are ready to make an impact.

Reach Out: If nominating someone else, please let them know and gather accurate contact information.

Stay Tuned: Class XLII (42) will be announced in August 2025 at an Opening Reception!
Nominee's Information

After March 28, 2025, this person will receive an application packet for Leadership Lakeland XLII (42).
Nominee’s Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Ext.
E-mail*
Company Name*
Title/Position
Nominator

Who is completing this nomination?
Nominator's Name*

First NameLast Name
Nominator's Phone Number*
Ext.
Nominator's E-mail*
*An anonymous copy of the Nomination Form will be emailed to the nominee. If you have any questions, please contact tdixon@lakelandchamber.com.
Nominees will receive an application packet via email after March 28, 2025. Selections will be made from all applications received. Completion of the application does not guarantee acceptance into the program. Class size is limited. Individuals who have not been selected previously are encouraged to reapply. A confidential Selection Committee will review the applications and select the members of the Leadership Lakeland class.

Nominations are non-transferable and any announced political candidates will be excluded from the program. Also, immediate family members will not be accepted in the same class. Businesses, organizations, and individuals may nominate someone to be in Leadership Lakeland. Individuals may also self-nominate.
Should be Empty: