2027 Leadership Olathe Application
I. Contact Information
Name
*
First Name
Last Name
Preferred First Name
Spouse's Name
Home Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Email
*
example@example.com
Secondary Email
example@example.com
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II. Employment / Education
Present Employer
*
Job Title
*
Date of Hire
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Check your highest educational level completed and / or specialized training completed:
High School
Some College
College
Graduate School
Doctoral
Other
Name of high school where you graduated
Name of College/University(s) where you graduated
Military Service Branch
From
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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III. You and Your Community
Number of years in the Olathe area
Hobbies/Interests
Complete there sentences:
I am most proud of
My greatest strength is my ability to
Few people know I can
A. In your opinion, what is the greatest asset of our community today?
B. In your opinion, what is the one greatest challenge facing our community?
C. Describe a situation when you utilized your own leadership skills in motivating a team:
D. Explain how you have had to deal with a conflict situation and how you resolved it:
E. What is your definition of a leader?
F. How much time do you currently (or hope to in the future) commit to volunteer activities? (Hours per month)
G. List any volunteer political, social, civic, or religious organizations in which you are currently active:
H. What do you consider your most important accomplishment in one of the above organizations and why?
I. What type of volunteer activities would you like to become active with in the future?
J. Do you have any political aspirations?
Yes
No
Possibly in the future
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IV. Purpose
A. What motivated you to apply for this program?
B. What do you hope to gain from your participation in the Leadership Olathe program?
C. What do you think you can personally contribute to your community?
D. How did you learn of the Leadership Olathe program or if nominated, please list the name/organization who nominated you.
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V. References
Please list two persons who are knowledgeable about your leadership performance and potential. Submit a letter of recommendation from each of the persons listed below with your application. Attach the the letter of recommendations to to this form (see below) or email them to Melissa Hess at mhess@olathe.org.
Reference Name 1
*
First Name
Last Name
Job Title
Company/Organization
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference Name 2
*
First Name
Last Name
Job Title
Company/Organization
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upload your two letters of recommendation here. Accepted file formats are: pdf, doc, docx, txt, rtf
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VI. Commitment
Attendance at all Leadership Sessions is mandatory. Please refer to Program Schedule.
I agree to attend all Leadership Sessions.
I agree
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VII. Community Engagement Liaisons
(Leadership Olathe Alumni) are available to offer ideas and recommendations on how you can get involved in the community. This is a great opportunity to expand your network with very minimal time commitment.
Are you interested in being paired with a community engagement liaison?
Yes
No
If yes, would you prefer a community engagement liaison in your same profession?
Yes
No
If yes, would you prefer a community liaison in your same industry?
Yes
No
Employer Authorization
My employer supports my application to the Leadership Olathe Program and ensures I can attend each session.
Signature
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