leadershipplus

A training workshop for high performance individuals who desire to pursue their purpose in the world

APPLICATION FORM
for Leadership Plus 2013
Kindly fill all the information needed below and email to leadership_plus@yahoo.com on or before January 25, 2013. Please place APPFORM_[LAST NAME] in the Subject Field of your email. Edit the document name of this .doc file as you email it with this format: LASTNAME_APPFORM. All applicants MUST be between 18-40 years of age. Please note that incomplete application forms or those without relevant attachments will not be accepted.

I. PERSONAL INFORMATION
Complete Name
Last Name First Name Middle Name

Nickname Age Home Address Current Address Email Address Religion Name of Office / School School / Office Address Gender

Birthdate Civil Status

Contact Nos. Present Occupation

II. EDUCATIONAL ATTAINMENT

Attainment Elementary High School College Post Graduate Name of School / University Inclusive Dates / Course Honors Received

III. ORGANIZATIONS / AFFILIATIONS

Name of Organization Position Years of Membership Accomplishments

IV. WORK EXPERIENCE

Name of Company Position Inclusive Years Accomplishments

leadershipplus
A training workshop for high performance individuals who desire to pursue their purpose in the world

V. CHARACTER REFERENCES
Name of Reference Occupation Office Address Contact Numbers Name of Reference Occupation Office Address Contact Numbers Email Address Email Address

VI. OTHER INFORMATION

How did you know about the program? Do you have any existing medical conditions? Do you have any food restrictions?

VII. ESSAY 1. First Question In 250 words, cite a specific life experience when and where your principles/values were challenged?

2. Second Question Please attach a 250 word essay discussing what you believe to be the nature of leadership and service? Explain by citing concrete examples and experiences?