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  • MM slash DD slash YYYY
  • EMPLOYMENT

    Please list current employment and attach resume below (optional).
  • Drop files here or
    Max. file size: 50 MB, Max. files: 3.
    • EDUCATION

    • (Month/Year to Month/Year)
    • PROFESSIONAL AND OCCUPATIONAL ACTIVITIES

    • (Month/Year to Month/Year)
    • (Month/Year to Month/Year)
    • VOLUNTARY COMMUNITY ACTIVITIES

      List the key non-professional activities (charity, religious, school involvement, task forces or commissions) in which you have actively participated in the last 3 years.
    • (Month/Year to Month/Year)
    • (Month/Year to Month/Year)
    • SPECIAL HONORS/AWARDS

    • ESSAYS

      Please answer in the space provided limiting each response to 100 words or less. No attachments please.
    • REFERENCE FORMS

      The applicant must include two completed Reference Forms from different people. This form is available on the application page of the LBF website. If you do not have the completed forms available right now, you can submit your application today and email the forms by the 6/4/21 application deadline to apply@leadershipbroward.org.
    • Drop files here or
      Max. file size: 50 MB, Max. files: 3.
      • EMPLOYER CONSENT FORMS

        Applicants must have the support of their employer. This form is available on the application page of the LBF website. If you are self-employed or you are the CEO/ED/President, there is no need for the consent form. If you do not have the completed form available right now, you can submit your application today and email the form by the 6/4/21 application deadline to apply@leadershipbroward.org.
      • Max. file size: 50 MB.
      • TUITION

        If accepted into the Leadership Broward Class XL, you and/or your employer will be invoiced for a tuition fee of $2,600. In order to hold your seat in the class, you and/or your employer must submit payment no later than 5:00 p.m., Friday, August 20, 2021.
      • Applicant Acknowledgment of Commitments