2026-2027 Leadership Nebraska Application Form

Leadership Nebraska Application Form

2026-2027 Class XVIII
Leadership Nebraska offers a transformative experience for individuals seeking to enhance their leadership capabilities and make meaningful contributions to their communities. By participating in this prestigious program, applicants gain unparalleled access to top-level executives from various sectors across the state, fostering invaluable networking opportunities and mentorship. The program also provides exclusive tours inaccessible to the general public. Participants acquire essential skills and knowledge to drive positive change within their communities, empowering them to lead with vision, integrity, and impact.
INSTRUCTIONS:

PLEASE READ CAREFULLY. FAILURE TO FOLLOW INSTRUCTIONS WILL PREVENT THE APPLICATION FROM BEING CONSIDERED.
- Complete each section in full.
- You will be asked to upload a resume, recommendation letter and headshot.
- Only one completed recommendation form will be accepted. This may not come from your employer.
- Tuition (includes lodging, meals, bus transportation, access to top level speakers, exclusive behind the scenes tours throughout the state, etc.)
  - Tuition - $6,250
  - No applications will be accepted after May 1, 2026
Selection Criteria
- Applications are accepted from individuals living or working within the State of Nebraska.
- Class members are chosen by the Selection Committee on their own merits based upon the information provided on their application. The committee seeks representation from a cross section of the state including business, labor, government, education, the arts, community based organizations, human services and ethnic and minority groups.
- Applicants representing a corporation or organization must have the full support of their employer or sponsoring organization. Individuals not associated with a business or organization are also eligible to apply.
  
  Applicants must be able to fulfill program attendance requirements.
  Participants are expected to attend each session from August, 2026 through February, 2027.
  - August 19-21, 2026: Orientation - Nebraska City (Mandatory)
  - September 16-18, 2026: Western Nebraska
  - October 21-23, 2026: Omaha Metro
  - November 18-20, 2026: Northeast Nebraska
  - January 20-22, 2027: Central Nebraska
  - February 16-18, 2027: Lincoln Area
  - February 18, 2027: Commencement Ceremony
  - Participants who are absent from more than one class session will not graduate. No exceptions.
- In reviewing applications, the Selection Committee looks for potential participants according to the following criteria:
  - Personal characteristics: motivation, leadership potential, community involvement, interest, and creativity
  - Commitment to serve Nebraska or their local community following graduation
  - Willingness to make the time commitment required by the program
Note: Class size is limited to 35. Applicants are encouraged to reapply the following year if not selected.

Contact Information
Personal Contact Information
Legal Name*

First NameLast Name
Preferred Name*
Birthday*

MonthDayYear
Date
Gender*
Race/Ethnicity*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Driver's License Number*
Employer Contact Information
Employer Name*
Title*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor's Name*
Supervisor's Email Address*
example@example.com
Education
Highest Level of Education Completed*
Have you completed a leadership program at the local level? If so, please list the program.*

Activity Data
List activities that demonstrate your commitment to your community and/or state:*

0/400
In order of importance to you, list your role(s) held in civic, business, religious, social, athletic, or community organizations. (these can be volunteer roles).
#1
Organization
Position
Elected or Appointed position?
Describe responsibility of your role.

0/200
#2
Organization
Position
Elected or Appointed position?
Describe responsibility of your role.

0/200
#3
Organization
Position
Elected or Appointed position?
Describe responsibility of your role.

0/200
#4
Organization
Position
Elected or Appointed position?
Describe responsibility of your role.

0/200
What do you consider your most important accomplishment in one of the above organizations? Why?*

0/400
What type of community or volunteer activities would you like to become involved with in the future?*

0/400
If you have not had the time or interest to become actively involved in the community, what conditions have changed that now enable you to seek community involvement?*

0/400

General Information
A goal of Leadership Nebraska is to build a network of community leaders who can enhance their problem-solving and other leadership skills by sharing differing perspectives and working together collaboratively. What are the three most significant problems facing Nebraska today?*

0/400
What needs to be done regarding one of these issues?*
What are the three most notable opportunities and/or strengths of Nebraska?*

0/400
What could be done to further develop one of these opportunities and/or strengths?*

0/400
What specific skills/knowledge do you want to gain from your participation in Leadership Nebraska?*

0/400
YesNo
If yes, how many times?
We encourage you to re-apply should you not be selected this year. The Selection Committee considers sustained interest in making their recommendations.

Personal References
Please list two people, other than your employer, who are knowledgeable about your leadership performance and potential. Your recommendation form should be completed by one of the people listed below.
Reference #1
Name*

First NameLast Name
Relationship to Applicant*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Reference #2
Name*

First NameLast Name
Relationship to Applicant*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
* Please have your reference submit a recommendation letter on your behalf, with this link.

Files to Upload
Resume - Please title your document "FirstName LastName Resume"*

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Headshot - Please title your document "FirstName LastName Headshot"*

Cancelof

Commitment Pledge (please read carefully)
- Program Dates:
  - Orientation Retreat: August 19-21, 2026
  - Western Nebraska Bus Tour: September 16-18, 2026
  - Northeast Nebraska Session: October 21-23, 2026
  - Omaha Metro Session: November 18-20, 2026
  - Tri-Cities Session: January 20-22, 2027
  - Lincoln Session: February 16-18, 2027
  - Commencement: February 18, 2027
- Attendance at sessions is mandatory. Participants who miss more than one class session will not graduate. There are no exceptions.
- Tuition:
  - $6,250
  - Final deadline to submit applications is May 1, 2026.
  - Scholarships are available based on need. If you require financial assistance, please email a letter explaining the reason for your request and the amount needed to Tara Lea at tlea@nechamber.com.
- Payment is due by May 31st, 2026 and is nonrefundable.
I acknowledge that I have read and agree to the above statement.
Signature*
Should be Empty:

Leadership Nebraska Application Form

Contact Information

Education

Activity Data

General Information

Personal References

Files to Upload

Commitment Pledge (please read carefully)