Tentative Class Schedule (Final schedule will be included in acceptance letters)

Transcription

1 SKL Class XL Application Instructions Thank you for your interest in the Stanley K. Lacy Executive Leadership Series (SKL). Please read the Application Instructions in full before completing your application. Please direct all questions to Rebecca King, SKL Program Director, at or Before You Get Started 1. Review the program, attendance and time requirements. Review the tentative class schedule and be sure you can commit to it and the attendance and time requirements, should you be accepted to participate in the program. Tentative Class Schedule (Final schedule will be included in acceptance letters) Thursday, September 17, 2015 Orientation (5:30 7:30PM) mandatory in full Thursday, Oct. 1 Friday, Oct. 2 Opening Retreat (2 full days, 1 overnight) mandatory in full Wednesday, October 21 Wednesday, November 18 Wednesday, December 16 Wednesday, January 20, 2016 Wednesday, February 17 Wednesday, March 16 Wednesday, April 20 Wednesday, May 18 Thursday, June 16 Friday, June 17 Closing Retreat (2 full days, 1 overnight) mandatory in full Attendance is mandatory at the Orientation, the Opening Retreat, Closing Retreat and at least 80% of the monthly class days (which is the equivalent to one missed class day). Failure to meet these requirements will jeopardize the class member s graduation and alumni status. Additionally, time outside of the class days is necessary, including small group work, class day preparation and optional social time. Time outside of class ranges from 5-15 hours per month. 2. Make arrangements for payment of the $1200 program fee, should you be accepted into the program. The program fee may be paid for by an applicant s employer, sponsor, or by the applicant. Payment is made upon selection into the program. Your sponsor is required to complete the Sponsor Commitment Form, which is in Part I of the application. If you plan to pay the program fee yourself, please complete the Sponsor Commitment Form yourself, as you are your own sponsor. SKL Class XL Application Instructions

2 Four scholarships are available to assist qualified applicants. Scholarships may cover full or partial tuition, depending on the needs of class members each year. The Lacy Scholarship funds one or more qualified individuals on a needs basis. The Leadership Indianapolis Scholarship funds one or more motivated and committed individuals who may not otherwise be able to participate. Special consideration is given to those from non-profit organizations or government entities. The Lacy Family Arts Scholarship funds an individual working in a non-profit arts/cultural organization. The Edna B. Lacy Scholarship funds a building-based, professional educator in the Indianapolis Public Schools system. To apply for one of these scholarships, include a one-page letter of request with your SKL Class XL application. Include the name of the scholarship you are applying for, your reason for applying for it and why you believe you are a strong candidate for the scholarship. Attach your letter as the last page of Part I of your application. If you are applying for a scholarship and cannot secure a sponsor, do not fill out the sponsor form, but do include your request letter for scholarship funds. If you are applying for a scholarship and can secure a sponsor, do complete the sponsor form and include your request letter. 3. Get the approval and support of your employer. Your immediate supervisor is required to fill out the Employer Commitment Form, which is in Part I of the application. If you are self-employed or are the head of your organization, you do not need to complete this form. 4. Gather three references who are knowledgeable about your leadership experience and skills and your community service. Do not use people within your current employer or family members as references. Each of your references is required to sign the reference form. Reference letters are not requested and are not included in the selection process. Completing the Application 1. Do not include any identifying information about yourself in Part II of the application, including your name, your current and previous employers, etc. Instead, use broad terms to describe an organization (such as large healthcare company, law firm, etc.). This is to ensure the anonymous nature of the selection process. 2. Check your grammar and spelling. Ask friends or colleagues to proof your application. 3. Ask someone to review your application and make suggestions for improvement. Consider asking a colleague, an SKL grad, or someone who knows you well to do this for you. You may even consider asking multiple people to review your application. 4. Provide thoughtful, but concise, answers to all of the questions on the application. 5. Read and follow the application instructions. For example, you ll see we ask that you not use people you work with for references. Instead, use people who demonstrate your level of community involvement. SKL Class XL Application Instructions

3 6. Be sure your submitted application is complete and contains all required forms and signatures (including your own). 7. Invest a significant amount of time in completing the application. SKL is a highly competitive program and you want to submit your best effort. 8. Vary your examples when requested. Avoid using one example multiple times. 9. Be specific in demonstrating your leadership achievement. This is not the time to be shy. Tell us about your leadership and your contributions. 10. Be distinctive. Find ways to stand out and show your individuality. Submitting the Application 1. Please submit one stapled copy of Part I of the application ( Part I is noted in the document footer) 2. Please submit seven stapled copies of Part II ( Part II is noted in the document footer). 3. Please do not place the copies in binders, folders, etc. 4. Completed applications should be postmarked on or before Monday, April 13, Applications may also be delivered by 4PM on Monday, April 13. Late applications will not be accepted. Mail or hand-deliver applications to: Rebecca King Stanley K. Lacy Executive Leadership Series Leadership Indianapolis 615 N. Alabama Street, Suite 119 Indianapolis, IN You may also contact Rebecca King with any questions about the application at rking@leadershipindianapolis.com or *Note, the SKL office is NO LONGER located at the Indy Chamber offices. Please DO NOT deliver your application to our former office location. Applicants who deliver their application to the wrong location will be responsible for retrieving their application and delivering it to the appropriate address. SKL Class XL Application Instructions

4 Application Part I Applicant Information A. Contact Information Name Company/Organization Business Title Home Address Home Home Phone Cell B. Education Please indicate your educational background, including college, trade school, post graduate or other specific training. School/College Location Dates From/To Degree C. Employment History Please list your employment history, including any active military duty. List current employment first. Company/Organization Title City/Location Dates From/To SKL Class XL Application Part I

5 D. Scholarship Information 1. Are you applying for scholarship assistance? Y N 2. Please check the scholarship for which you are applying: Lacy Scholarship Lacy Family Arts Scholarship Leadership Indianapolis Scholarship Edna B. Lacy Scholarship 3. If you are selected and scholarship assistance is not available, will you be able to secure the $1200 program fee? Y N Remember to attach your letter applying for the scholarship of your choice to your application, as outlined in the application instructions. E. Residence Information 1. How long have you lived in central Indiana? 2. If not a native, why and when did you move to central Indiana? 3. Is it probable that you would move from central Indiana within the next five years? Y N Add comments below if necessary: F. Additional Information 1. Your Age Birth Date 2. Your Race/Ethnic Group (optional) 3. How did you learn of the SKL Executive Leadership Series? Colleague/coworker who is an SKL graduate, a past SKL moderator or past sponsor Other please explain: 4. Have you previously applied to SKL? Y N If so, during which year(s) or for which class(es) did you apply? 5. Would you like to receive information about other programs offered by Leadership Indianapolis? Y N I understand and can commit to the attendance and time requirements if I am selected to participate. I also understand that not meeting these requirements will jeopardize my graduation and alumni status. Signature Date SKL Class XL Application Part I

6 Application Part I Sponsor Commitment Form This form is to be completed by the applicant s sponsor to indicate the commitment to sponsor the applicant and pay the $1200 program fee, upon the applicant s acceptance to the program. Note: If you are paying for the program fee yourself, please complete this form. Name Title Company/Organization By signing below, you commit to acting as the applicant s sponsor and to paying the program fee of $1200 upon the applicant s acceptance to the program. Signature Date SKL Class XL Application Part I

7 Application Part I Employer Commitment Form This form is to be completed by the applicant s employer to indicate support of the applicant s participation in the SKL program and the mandatory attendance requirements. Note: If you are self-employed, you don t need to fill out this form. Class members are required to attend the Orientation, Opening Retreat, Closing Retreat and at least 80% of the monthly class sessions. An additional 5-15 hours per month outside of class sessions is required of class members. Immediate Supervisor s Name Title Complete the following only if different from the applicant s information: By signing below, you indicate that you and the applicant s employer fully support the applicant s participation in the program and approve the necessary time commitment to fulfill the program requirements. Signature Date SKL Class XL Application Part I

8 Application Part II Narrative Note: Please do not use identifying information (name, employer, job title, etc.) about yourself in this section to ensure the anonymous nature of the selection process. A. Your Interest in SKL 1. Why do you want to participate in SKL? 2. What strengths, skills, perspectives and/or leadership abilities would you contribute to your SKL class? B. Your Leadership Achievement and Experience 1. Briefly explain your current position, focusing on your leadership responsibilities. 2. Describe a specific incident where you have fulfilled a role of effective leadership in your current or a previous position. Relate how you applied your leadership skills in this situation. 3. Describe your highest career responsibility or achievement to date. 4. Describe the special honors and/or awards you ve received in your professional history (you may include those received in previous jobs). 5. Please list up to 5 of your current and/or previous professional or business affiliations Organization Position /Responsibility Dates From/To (include full name, not acronyms, and city/state if outside central Indiana) SKL Class XL Application Part II

9 C. Your Community Leadership Experience 1. Please list up to 5 of your current and/or previous community leadership experiences. Include organizations or efforts for which you ve served in a leadership capacity. Do not include professional or business affiliations focus on work you ve done outside of your career or industry. Organization/Effort Position/Responsibility Dates From/To 2. If there are significant gaps in the timeline of your community leadership experiences, please explain: (if none, skip this question) 3. Describe an issue or challenge you experienced in a community leadership capacity that your personal leadership skills helped to resolve. 4. Describe your most significant community leadership responsibility or achievement to date. 5. Describe the special honors and/or awards you ve received for your community service efforts. 6. How have you demonstrated your personal philosophy regarding community service in your community leadership experiences? 7. How do you intend to stay involved in community activities? (Be as specific as possible and include examples) D. Community Issues 1. In your opinion, what are the five most pressing issues facing central Indiana today? 2. Which one of these is the most important in your opinion, and why? 3. What are your suggestions for addressing this issue? SKL Class XL Application Part II

10 4. What leadership role have you assumed or would be willing to assume to address this issue? E. Additional Information Please tell us more about yourself. What makes you unique? What sets you apart? Provide any additional information about yourself that you would like the Selection Committee to consider. SKL Class XL Application Part II

11 Application Part II References Use this form to designate the three individuals who will serve as personal references to you and who are knowledgeable about your community service, leadership experience and skills. Each of your references must sign this form Name Title Company/Organization Signature Date Name Title Company/Organization Signature Date Name Title Company/Organization Signature Date SKL Class XL Application Part II