• Must reside in Louisa County or be employed by a business within Louisa.
• Current employment of at least one year with the same employer.
• Seeking professional growth and development.
• Demonstrated leadership capacity within your organization.
• Willingness to fully commit to the program's time requirements.
• Attendance at six workshops from January to June on the Third Tuesday (one absence allowed under exceptional circumstances).
• Participation in fieldwork outside class hours for the Community Action Project.
• Employer support for attendance and program involvement.
• Commitment to future community involvement in shaping the future of Louisa County.
• Submission of completed application and letter of recommendation deadline.

Personal Information

• First Name
• Last Name
• Home Address
• Mobile Phone
• Email Address
• Name of School
• Graduation Date
• Degree/Major

Employer Info

• Present Employer Name
• Your Title/Role
• Date of Hire (mm/dd/yyyy)
• Business Industry
• Employer Address

Supervisor Info

• Immediate Supervisor's Name
• Supervisor’s Title
• Supervisor’s Email
• Supervisor’s Phone

This guide is designed to help you draft your application responses before submitting your final application online.

1. DRAFT: Online application is required and doesn't allow for drafts.  Use questions below to craft your applcation draft.
2. LETTER: At least one letter of recommendation is required.
3. SUBMIT: After finalizing your draft, visit the online application portal here to complete your submission.
4. DEADLINE: Remember to submit your application and a letter of recommendation by October 15 each year.

APPLICATION INFORMATION REQUIRED

Please list any community, civic, professional, business, religious, athletic, social, or other organizations you have been involved with in the past 5 years:  (Include any leadership roles you held.)

Briefly describe your most significant accomplishment(s) or leadership roles from your involvement in the organizations listed above.  (Maximum 200 words)

What community activities, other than those listed above, would you be interested in learning more about or participating in?  (Maximum 150 words)

In your opinion, what are two significant issues facing Louisa County? Please explain.  (Maximum 250 words)

Why do you want to participate in Leadership Louisa, and how do you envision this program impacting your personal or professional development? (Maximum 200 words)

How do you plan to use the leadership skills and connections gained from Leadership Louisa to make a positive, long-term impact on the Louisa community? (Maximum 250 words)

Letter of Recommendation

Please submit at least one letter of recommendation from someone who is familiar with your leadership potential and performance.

Financial Commitment

• Non-refundable $25 application fee is required with this application.
• Program tuition of $1,200 ($950 for Chamber members) is due by December 31st.
• Who will fund your tuition?
  • Employer/Organization
  • Individual Participant
  • Scholarship Assistance Requested

If you are requesting scholarship assistance, briefly explain your circumstances. (A separate application for scholarship assistance will be sent to your supervisor.)