Leaders Lab Application

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Leaders Lab Application

Apply here for the 2018 Leaders Lab program. For additional information, click here.

First Name *

Last Name *

Title *

Company *

Address *

Address 2 (if needed)

City, State, Zip *

Phone Number *

Cell

E-mail Address *

Were you recommended to apply by a Leaders Lab participant?

Please Select:

Yes

Please describe your present job responsibilities.

Current Employer

Title

Responsibilities

Professional, Community & State Involvement

Organization #1

Position held

Contributions or Achievements

Organization #2

Position held

Contributions or Achievements

Please Tell Us:

In your opinion, what are the three most significant policy issues facing business in the state of Minnesota and why?

You will spend 4 sessions as part of a group of 30 rising business leaders from across the state. You will be touring different companies and talking with our states business and political leaders. What do you expect to gain from this experience?

What qualification will you bring to the group?

We want to know who you are! Tell us something interesting about you as a person.

References (please list two)

Reference #1 Name

Title

Company

Phone

Reference #2 Name

Title

Company

Phone

The benefit of this program is dependent on every participant attending all four sessions, two of which includes an overnight stay. Can you commit to this expectation? Clicking "Yes" below verifies you will commit to the attendance requirements, and if applicable, you have the full cooperation of your employer.

Yes, I commit to the experience that I will attend all four session in their entirety. *

Yes

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Leaders Lab Application

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