KLI Application Thank you for your interest in participating in the 2023 Kennebec Leadership Institute! Please note that we ask students to commit to 100% attendance for the 14-week program. If you are unable to make a commitment, it is not in your best interest to apply at this time. In addition, we require 100% support from your employer. Students will also be asked to join a Facebook group page. Tuition for KLI is $1,500. Partial scholarships may be available. DEADLINE: All completed documents must be received by July 28, 2023 2023 Application Form 2023 KLI Schedule APPLICANT INFORMATION First Name(*) Invalid Input Mailing Address(*) Invalid Input Personal Phone(*) Invalid Input Email(*) Invalid Input Last Name(*) Invalid Input Work Address(*) Invalid Input Work Phone(*) Invalid Input Contact Preference(*) WorkPersonal Invalid Input EMPLOYMENT INFORMATION Current Employer(*) Invalid Input Supervisor Name(*) Invalid Input Title(*) Invalid Input Supervisor Email(*) Invalid Input Date of Employment Invalid Input COMMUNITY ACTIVITIES & LEADERSHIP ROLES:Please list in order of importance to you any community, civic, professional, business, religious, social, athletics, and/or other organizations of which you are or have been an active member. Organization(*) Invalid Input Second Organization Invalid Input Third Organization Invalid Input Fourth Organization Invalid Input Dates of Membership(*) Invalid Input Second Organization Dates of Membership Invalid Input Third Organization Dates of Membership Invalid Input Fourth Organization Dates of Membership Invalid Input Positions Held(*) Invalid Input Second Organization Positions Held Invalid Input Third Organization Positions Held Invalid Input Fourth Organization Positions Held Invalid Input LEADERSHIP How do you define leadership?(*) Invalid Input Share an example of a leader who you aspire to be like.(*) Invalid Input What do you consider your greatest accomplishment or achievement, or what makes you feel accomplished?(*) Invalid Input What do you want to take away from KLI professionally and personally?(*) Invalid Input KENNEBEC VALLEY REGION Describe your experience in the Kennebec Valley region (how long have you lived here, what brought you here, etc.)(*) Invalid Input Do you plan to stay in the Kennebec Valley area? Why or why not?(*) Invalid Input ADDITIONAL INFORMATION: Applicants must also complete and submit the following with their application: PERSONAL STATEMENT: please upload a brief personal statement (200-300 words) giving your reasons for pursuing admission into the Kennebec Leadership Institute. You may also include any special skills, knowledge or interests that you would bring to the program. Upload Personal Statement(*) Invalid Input VISION STATEMENT: please upload a brief vision statement (50-200 words) explaining your ideal vision of the Kennebec Valley in 20 years. Upload Vision Statement(*) Invalid Input REFERENCES: please upload two letters of recommendation from people who are not members of your immediate family. These individuals should have an understanding about your personal and leadership qualities. Upload Reference 1(*) Invalid Input Upload Reference 2(*) Invalid Input Please verify you are human(*) I am not a robot Invalid Input Submit Submit
