2027 KINBER MOR Leaders Program Application
Applicant Information:
Full Name
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First Name
Last Name
E-mail
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example@example.com
Phone Number
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Format: (000) 000-0000.
Organization
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Job Title
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Years in Current Position
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LinkedIn Profile
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Professional Background
Describe your current role and responsibilities within your organization
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Outline your career progression (and/or goals) to date. Include key milestones and achievements.
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Describe any leadership roles you have held in the past.
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Leadership and Vision
What are your personal leadership goals for the next five years?
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What motivates you to apply for the KINBER MOR Leadership Cohort?
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Personal Statement
Why do you believe you are a good fit for the MOR Leadership Cohort?
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How do you plan to leverage the skills and knowledge gained from this cohort to impact your organization and community positively?
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Commitment
Orientation (Virtual) September 2026
Workshop 1 (In-Person) October 21-22, 2026 - Location TBA
Workshop 2 (Virtual) December 1-2, 2026
Workshop 3 (In-Person) January 12-13, 2027 - Location TBA
Workshop 4 (Virtual) March 9-10, 2027
Workshop 5 (In-Person) April 20-21, 2027 - Location TBA
The program consists of five (5) two-day sessions on the dates listed above, including three (3) in person sessions.
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Yes, I can attend all.
No, I have a conflict.
If you have a conflict, please put the date below.
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Have you notified your employer of your intent to participate in the KINBER MOR Leaders Program?
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Yes
No
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Digital Access & Opporunity
Digital access & opportunity is essential for ensuring all individuals have access to the technology and internet connectivity necessary for full participation in society. Describe a specific initiative or project
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In your opinion, what are the biggest barriers to achieving digital access & opportunity in your community or organization? How might you address these challenges as a leader?
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Reference
Please provide the names and contact information for two professional references who can speak to your leadership abilities and potential.
Did someone refer you to apply for this opportunity? If yes, who.
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Billing Information
Do you require financial assistance?
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Yes
No
My organization can support
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A quarter of tuition
Half of tuition
None of tuition
Name of Billing Contact
*
First Name
Last Name
Email of Billing Contact
*
example@example.com
Phone Number for Billing Contact
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Please enter a valid phone number.
Format: (000) 000-0000.
Address for Invoice
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Agreement and Submission
I certify that the information provided in this application is true and accurate to the best of my knowledge.
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I agree
How did you hear about us?
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Social Media
Newsletter
Colleague
Other
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