LEADERSHIP MIDLAND 2026 APPLICATION

PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY BEFORE PROCEEDING WITH COMPLETION OF THIS FORM.

If you have problems with the submission of the application, please contact dmiddleton@MBAmi.org.

Please refer to the information at the end of this application to be sure you have completed all parts of the application process, and for deadline information. Some businesses, especially larger businesses, have their own processes for application to programs such as these. Be sure to check with your supervisor before completing this application.

You might wish to first type out your answers (in a Word document, for instance) and then cut & paste into this online form. You also have the ability to save this form and return to it, if you are unable to complete it all in one sitting. If you need to do this, simply click the Save button at the bottom of this page, and then click on the green Get Draft Link button. Use that link to open up the form again for completion.

The selection process for Leadership Midland is a competitive process, so we encourage you to complete every section of this application as fully as possible.

Class size is limited. Each class is a diverse mix of representatives from the community, and individual applicants are selected based on:

Community involvement
Interest and commitment to enhancing community involvement & leadership skills
Letters of recommendation

Name (as you would like it to appear in publications)

Name for nametags, etc.

Personal Email Address

example@example.com

Personal Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code

Personal Phone Number

Format: (000) 000-0000.

Employer

Your Professional Title

Email Address

Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number

Format: (000) 000-0000.

Supervisor's Name & Title

Supervisor's Email Address

1. Are you, or is your organization, a Midland Business Alliance member?

2. How long have you lived or worked in Midland County?

3. Briefly describe your current job, including duties, length of service, etc.

4. What are your top three leadership skills? Please provide supporting examples in 225 words or less.

0/225

5. In 100 words or less, what do you hope to gain by participating in Leadership Midland?

0/100

6. In 200 words or less, describe the volunteer activities in which you have participated in the past three years and the accomplishments that you think are important. Additionally, you are encouraged to list the service clubs/civic clubs to which you belong.

0/200

7. In 125 words or less, what motivated you to apply for participation in Leadership Midland?

0/125

8. In 200 words or less, and ONLY if you've applied to Leadership Midland before, what steps have you taken to increase your eligibility for selection? (answer this question only if you have applied to Leadership Midland before)

0/200

9. In 150 words or less, summarize how you would use your experience after the program to benefit your employer, your community, and yourself.

0/150

Please initial after each of these six statements.

I understand this is a highly esteemed program with a limited number of openings and I am 100% committed to: (see bullet points below)

Attend one of the orientation meetings, either June 18th or June 23rd (7:30--9:00 am)
Complete four site visits, plus one trip on Dial-A-Ride
Attend the mandatory orientation meeting on September 23, 2026 from 5:45-8 pm
Attend the three-day (October 8--10) program in its entirety

I understand the commitment involves overnight stays and limited cell phone use.

I commit to participation in the selected class project (parameters to be set by the class members), including the initial meeting held post-program to finalize plans for the class project.

I give the Midland Business Alliance and Leadership Midland Alumni Association permission to photograph/videotape me and use those photographs/recordings for promotional or educational purposes until such time as I notify the Midland Business Alliance in writing to the contrary.

I understand there is limited space in this program and if I am unable to attend, I will inform the Midland Business Alliance of my intent to withdraw from the program by August 7, 2026 so an alternate may be offered my spot in the program. If I withdraw after August 7, 2026, I understand that a $125 processing fee will be assessed.

My employment supervisor is aware of and agrees to the time commitment involved, if I am selected for participation in the class.

Please sign your name here using your mouse or touchscreen. Your signature signifies your acceptance of the terms and conditions outlined above.

Date

Scholarships: A limited number of partial scholarships are available for employees of micro business (five or fewer employees), employees of nonprofits, and individuals. To apply for a scholarship, please submit a letter of request, explaining the need for a scholarship and explaining your other potential funding sources. Your scholarship request must be submitted at the same time as your application packet, and can be sent to dmiddleton@mbami.org

This complete, electronic application.
Two letters of recommendation describing why the applicant should be considered to attend Leadership Midland (only one from a current supervisor or co-worker, please. Email letters to dmiddleton@MBAmi.org. Letters may be emailed directly from the author.
Your scholarship request, if you plan to submit one. That may also be emailed to dmiddleton@mbami.org.

Deadline for applications, including letters of recommendation, is Wednesday, May 13.

Notification of acceptance will be sent the week of June 8th. If accepted, payment of tuition will be due by Friday, July 10, 2026.

LEADERSHIP MIDLAND 2026 APPLICATION

Employment Information

Commitment

Your Application Packet must include: