ENCORE LOUISVILLE APPLICATION
This application will be used to select participants for the Encore Louisville Class of 2021. Please review the Program Calendar before submitting your application.
In addition to completing this application, please send a headshot photo via email to email@example.com.
DEADLINE TO APPLY: Friday, November 13th
If you are not a graduate of a Leadership Louisville Center program, see additional requirements.
You must complete the entire application in one session. Before beginning the application, we recommend you gather the information you need and compose the answers to the interview questions in a word processor (you can copy and paste into the application).
If you encounter any problems submitting this form, please contact Peggy Clements at (502) 338-0751 (cell) or email firstname.lastname@example.org.
IF YOU ARE EMPLOYED, enter your business address below - otherwise, skip to the "preferred email" field. You will be asked for your personal contact information later.
Tuition for this program varies based on alumni and membership status with the Leadership Louisville Center. Please let us know which of these describes you:
IF YOU ARE EMPLOYED (1st option above) or RETIRED, NOW CONSULTING (3rd option above), please indicate your preferred title and company for publication on our website, in press releases and in the graduate directory. This company name will also be used on your nametag when you attend Leadership Louisville Center events. In the case of those retired and now consulting, you might enter "President" for your job title, and "Jones Consulting" for your company.
IF YOU ARE RETIRED (2nd option above), OR RETIRED, NOW CONSULTING (3rd option above), please indicate the title and company that is your biggest claim to fame. This information is used to build and promote the program. For example, if you are Bill Gates, here is where you would enter "Co-founder and CEO - retired" for your title, and "Microsoft - retired" for your company.
Diversity is an important part of our mission. Please provide the following information:
Please complete the following information for your two most recent previous employers, if applicable.
Please list up to three of your community service activities, beginning with the most recent.
Answers of 200 words or less per question are preferred.
Satisfaction Guarantee Policy
IMPORTANT - PLEASE READ!
After clicking the Submit button, it may take a few moments to process. If your application submitted successfully, you will see a confirmation message and receive an email within five minutes. If you do not see the confirmation page, please do not close your browser. Print the page and contact us as soon as possible at (502) 561-0458.
Share This Form