Emerging Leader 2027

EMERGING LEADER 2027 APPLICATION

Deadline: Saturday, October 31, 2026
Important Application Instructions:

Please Read Carefully Before Proceeding
- - Create a free JotForm account to save your progress.
  - Save frequently (works for 30 days on same device).
  - Avoid autofill; enter information manually.
  - Review all fields carefully before submitting.
  - Email meghan@leadershipmd.org for assistance.
Name

First NameMiddle NameLast NameSuffix
Preferred Name
Preferred Pronouns
ex. she/her/hers
Primary Email Address for all Leadership Maryland correspondence
Years in Maryland
Birth Date mm/dd/yyyy
DEMOGRAPHIC INFORMATION Leadership Maryland seeks to reflect racial, cultural and ethnic diversity in each class. Please indicate how you identify. Select all that apply.

Other
Gender
Are there additional characteristics (ex. gender, ethnicity, cultural, etc.) that define you as an individual that you would like us to consider? If YES, please explain below or simply note 'None'.
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
County
Please select the County in which you LIVE
Personal Email
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Emergency Contact: (Name - Relationship - Phone)
How did you learn about Leadership Maryland?

Other
Please attach a high quality headshot

Professional head/shoulder photo. .jpg preferred
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Employer Name
Job Title
Employed Since
Number of Employees You Supervise
Manager/Supervisor Name
Manager/Supervisor Title
Manager/Supervisor Phone
Format: (000) 000-0000.
Manager/Supervisor Email
Business Address

Street Address

Street Address Line 2

CityState

Zip Code
County
Please select the County in which you WORK
Business Website
www.example.com
Business Email
Business Phone
Format: (000) 000-0000.
Please indicate your preferred billing address

Other
Briefly Describe Your Company/Organization

0/135
Briefly Describe Your Responsibilities

0/135
Type of Industry (i.e. engineering, law, education, non-profit, utility, consulting)
Official Authorization Statement

Upload a letter containing the following statement, along with pertinent contract information, duly signed by your Manager/Supervisor:

Statement: "I fully support the participation of this candidate in Leadership Maryland. I acknowledge the associated time commitment and financial obligation."

The letter must include the following details:
1. Supervisor Name
2. Title
3. Company
4. Phone
5. Email
6. Signature
7. Date
Official Authorization Statement

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PROFESSIONAL HISTORY

Do not list current employer; enter "None" if applicable
Employer - Title - From/To Date
Employer - Title - From/To Date
Employer - Title - From/To Date
EDUCATION

Begin with high school. Include college(s), business or trade schools, and specialized training.
School City & State From-To Degree/ Major
School City & State From-To Degree/ Major
School City & State From-To Degree/ Major
School City & State From-To Degree/ Major
List extracurricular activities in college. If none, please enter "none."
VOLUNTEER

The Selection Committee places great emphasis on the time you commit to volunteer activities. In order of importance to you, list up to 4 volunteer community, civic, professional, business, social, athletic, religious, or other organizations in which you have been or are currently active in, and state if you held or currently hold a leadership position. (limit 75 characters per line)
Organization From-To Leadership Position Held
Organization From-To Leadership Position Held
Organization From-To Leadership Position Held
Organization From-To Leadership Position Held
SPECIAL AWARDS AND HONORS

List special awards and/or honors received (limit 75 characters per line)
Award/Honor Year Received
Award/Honor Year Received
PREVIOUS LEADERSHIP PROGRAM EXPERIENCE
If you are a graduate of a county or regional program, list program(s) and the year completed. Do NOT list work-related/military leadership programs.
List your current hobbies and interests outside of your job. (limit 135 characters)
ESSAY QUESTIONS
What do you consider your highest responsibility or career achievement thus far?

Word count 25 minimum - 50 maximum0/50
Share a time when you engaged with a volunteer organization, what talents or gifts did you share with the organization and what was the impact?

Word count 25 minimum - 50 maximum0/50
If selected, what strengths and skills will you bring to the program?

Word count 25 minimum - 50 maximum0/50
Who is your role model as a leader and why?

Word count 25 minimum - 50 maximum0/50
If selected, what do you hope to gain from your Emerging Leader experience?

Word count 25 minimum - 100 maximum0/100
Describe a time when you experienced a setback, and share what you learned from the experience.

Word count 25 minimum - 100 maximum0/100
References

Please list two (2) references below. Attach a letter of recommendation for ONE of these two references.
Reference
Reference
Recommendation Letter

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Tuition

If selected, you will be invoiced for tuition, which covers all program expenses except overnight accommodations and personal transportation to and from program locations.

Tuition is:
- $4,250 by check or $4,450 by credit card when paid in full by March 8, 2027.
- $4,450 by check or $4,600 by credit card when paid after March 8, 2027.
All tuition must be paid in full by April 8, 2027. A payment plan may be arranged; however, the tuition amount will be $4,450.

Scholarships

To apply for financial assistance, request a Scholarship Application Form by emailing meghan@leadershipmd.org. The completed form and required proof of income must be submitted with your application. Acceptable documentation includes W-2, K-1, or Schedule C (Form 1040) for self-employeed applicants. Additional information may be requested.

Limited Financial Assistance is available. Awards are based on the applicant's compelling statement of need, the number of requests received, and the amount of availbale funds. Applicants may request up to $1,250. However requesting assistance does not guarantee you will receive all or any of the amount requested.
Are you requesting a scholarship?
If yes, how much?
Max $1,250
Scholarship Request Form

Attach your completed Scholarship Request Form
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Proof of Income

Attach either a W-2 OR a K-1 from your company OR a Schedule C from Form 1040
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APPLICATION FEE

The early bird application fee is $50 if submitted by 5 p.m, October 15th or $100 if submitted after that. The fee is non-refundable. You may pay by VISA or MasterCard (no other cards accepted) or by check made payable to Leadership Maryland, PO Box 2442, Easton, MD 21601. Please indicate your payment method.
How would you like to make payment?

My Products

Emerging Leader Application Fee

Visa or Mastercard only. Thank you!

$50.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Check
Application Instructions

The deadline is SATURDAY, OCTOBER 31, 2026. Late or incomplete applications will not be considered.

Be sure you have:
1. Attached a professional color photo
2. Attached signed Authorizing Official Statement
3. Attached one Letter of Recommendation
4. Attached Scholarship Request Form and proof of income
5. Checked your Application Fee payment method
When you click SUBMIT at the end of this application, if selected, your credit card will be charged the Application Fee. If you opt to pay by check, please mail your check to Leadership Maryland, PO Box 2442, Easton, MD 21601. NOTE: YOUR APPLICATION IS NOT COMPLETE UNTIL THE APPLICATION FEE IS RECEIVED.

You will receive an email confirmation that your application has been received, as well as a copy of your application. You will also receive a separate email with a receipt for your application fee payment.

Leadership Maryland

PO Box 2442 Easton, MD 21601 (410) 841-2101
Questions: meghan@leadershipmd.org
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EMERGING LEADER 2027 APPLICATION

PROFESSIONAL HISTORY

EDUCATION

VOLUNTEER

SPECIAL AWARDS AND HONORS

ESSAY QUESTIONS

Tuition

Scholarships

APPLICATION FEE

My Products*

My Products