leadership kitsap foundation
lkf
Leadership Kitsap Application
lkf
2014 - 2015 Curriculum Year
Leadership Kitsap a non-profit organization, was founded in 1993 by community leaders, the Kitsap County Chambers of Commerce and the United Way of Kitsap County. The mission of Leadership Kitsap is to promote informed and committed civic volunteerism. The year-long curriculum is designed to help participants acquire both a fuller sense of the critical issues affecting Kitsap County and also the leadership skills necessary to motivate and engage others in collaborative efforts to resolve them.

Selection Criteria
Leadership Kitsap class participants are selected through a competitive screening/interview process conducted by the Board of Directors. A maximum of thirtytwo individuals will be chosen based on criteria including the following: commitment to civic involvement in Kitsap County, potential for community leadership, and professional as well as personal achievement.

Selection Process
Application is a two-part process: (1) an electronic application submitted to the Leadership Kitsap office by June 16, 2014 and (2) a personal interview.

Tuition
Tuition for the curriculum year is $1950. At least $250 should be paid by the participant. The balance is usually paid by the participant’s employer or sponsoring organization. Partial scholarships are available however must be requested via separate application. Please contact the Executive Director (360) 782-1058 or email exdir@leadershipkitsap.org for more information.

Non-Discrimination
Leadership Kitsap does not discriminate against applicants or participants on the basis of race, religion, sex, national origin, sexual orientation, age, or physical ability.

Confidentiality
All applications are handled respectfully and with appropriate confidentiality.

Application Deadline
All applications must be received no later than June 16, 2014.

Instructions For Completion
This application will take 45 minutes to an hour to complete. You cannot save your work, so you should have all material available before beginning. Important Note: All candidates must complete an online application.

lkf

*Required Fields
 
Personal Information (Must complete entire application at once. Cannot save online)
Please answer all questions completely. Limit answers to space provided.
 
First and Last Name:*
Preferred Nickname:
Home Address:*
City:*
State:*
Zip Code:*
Daytime Phone Number:*
Cell Phone Number:*
Home Email:*
Emergency Contact:
Emergency Contact
Phone Number:
Please select one (Optional)
Years of Residence in
Kitsap County
Ethnic Identity (Optional)
lkf
Employment Information
Work Email*
Current Employer
Employer Name:
Address:
City:
State:
Zip Code:
Position Title:
Responsiblities:
lkf
Previous Employer 1  
Employer Name:
Position Title:
Responsiblities:
 
Employed from:
Employed to:
lkf
Previous Employer 2  
Employer Name:
Position Title:
Responsiblities:
 
Employed from:
Employed to:
lkf
Education 1 (High School Attended)
Name of School:
City:
State:
 
Date attended (from):
Date attended (to):
Degree Awarded:
lkf
Education 2 (Secondary Education 1)
Name of School:
City:
State:
 
Date attended (from):
Date attended (to):
Degree Awarded:
lkf
Education 3 (Secondary Education 2)
Name of School:
City:
State:
 
Date attended (from):
Date attended (to):
Degree Awarded:
lkf
Academic and/or Professional Accomplishments
Include offices held, accomplishments, special awards, and honors.
List accomplishments here:
 
What do you consider your greatest career accomplishment?
lkf
Community Leadership
Please describe present or past volunteer community involvement, including civic, political, government, social, athletic, or other community service (do not include business, professional, or academic leadership)
How many hours per month do you commit to volunteer work?
lkf
Organization 1
Name:
 
From:
To:
Offices held
(include committee chairs):
Your responsiblities:
lkf
Organization 2  
Name:
 
From:
To:
Offices held
(include committee chairs):
Your responsiblities:
lkf
Organization 3  
Name:
 
From:
To:
Offices held
(include committee chairs):
Your responsiblities:
lkf
Community Leadership Questions
What do you consider your most important accomplishment in one of the above organizations? Why?
 
What kinds of volunteer activites would you like to become active with in the future?
lkf
Application Essays (Please limit your answers to the spaces provided below.)
 
What leadership qualities will you bring to the Leadership Kitsap class? What do you hope to gain from your participation in the program and how will you put it to use?
 
Briefly describe three pressing problems facing Kitsap/Mason counties. Giving a recommendation for solving each.
 
Describe three notable opportunities facing Kitsap County? Give your recommendations for approaching
one of these opportunities.

lkf

Time Committment
Leadership Kitsap, a personal and intensive training program, requires a one-year time commitment. The program works best for people who see themselves acting in leadership roles in their place of employment and in their community.

Full participation by each class member is expected. This includes attendance at:
- Orientation - One evening in Mid-August
- Opening Retreat - 2-day retreat in early September (Overnight)
- Monthly Challenge Days - October through June
- Leadership Development Day – TBD
- Community Action Projects - to be scheduled by the class members in each group
- Graduation Celebration - late June
- Schedule subject to change

NOTE: To ensure that you can be an active participant during the coming year, please review these commitments to be confident that you, your family, and your employer understand these demands on your time, energy, and money. If you are unable to commit to this schedule, please do not apply at this time.

Financial Committment
Tuition for the Leadership Kitsap program is $1950. $250 of the tuition will be paid by the student with the remainder to be paid by the employer or sponsoring organization. Tuition is due by September 1, 2014. There are no refunds. For information on tuition assistance or individual payment arrangements, please call Kathy Nelson at 360-782-1058 or email exdir@leadershipkitsap.org.

Employer/Sponsor Tuition Contribution: $1700.00
Applicant Tuition Contribution: $250.00
TOTAL TUITION: $1950.00

Applicant's Signature:*
Employer's Signature:**
* Electronic signature only needed at this time (type in name). Once accepted into program, an original signed copy will be needed.
** Not applicable to partnerships, self-employed, unemployed or self-sponsored.
lkf
Sponsor Information (if applicable)
Name of Organization:
Address:
City:
State:
Zip Code:
Business Phone Number:
Business Fax Number:
Contact Person:
Contact Person Title:
Contact Email Address:
Business Website
lkf
Application Deadline
The deadline for submission of applications is June 16, 2014. All applications must be submitted online, however additional hard copies may be submitted to Kathy Nelson, Executive Director, Leadership Kitsap, 645 4th Street, Suite 101, Bremerton, WA 98337. Questions may be directed to: exdir@leadershipkitsap.org or by contacting (360) 782-1058.
lkf

return to top
 

facebook