2017-18 Leadership Bloomington-Monroe County Application »
Please fill out the form below and submit by Sept. 16, 2017. The names of people selected for the 2017-18 program will be announced by October 1, 2017.
Questions may be directed to Benda Stern via email at email@example.com. Thank you.
Who will pay your tuition? (If combination, indicate percentages below.)
If your employer or another agency is sponsoring your participation, please list the organization, contact name, and contact information
A limited number of awards to partially cover tuition are available to people who would not otherwise be able to participate in the program. Contact Brenda Stern at firstname.lastname@example.org or call 855-7662 for an LBMC scholarship application.