Legacy Leader Application Form

The Legacy Leadership Institute on Public Policy, based in the University of Maryland School of Public Health, is designed to provide residents aged 50+ with new careers as Legacy Service Leaders during retirement. These leaders will receive training and will work with elected officials to help address the challenges facing the state of Maryland.

Class will start on Weds. September 9, 2026, and will end on December 3, 2026.
Classes are held each Tues. & Weds at 8930 Stanford Blvd, Columbia, MD 21045
The Maryland General Assembly volunteer segment starts January 13, 2027 and ends on April 12, 2027. Legacy Leaders volunteer 2 days a week during the legislative session.

Full Name

First NameLast Name

Email Address

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

How did you hear about Legacy Leadership Institute on Public Policy?

Briefly describe present/previous employment

Are you currently employed?

Do you plan on retiring in the near future?

Are you currently involved with a volunteer organization(s)?

Please give a brief description

Please indicate your highest level of completed education

Is there a particular office you are interested in serving in?

Which office?

References: Please list two (2) people who know you well either as an employee, as a friend or as a volunteer. (Name, Phone Number, and Email)

Participant Application- Fill out Form Below