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Programs Signature Apply

Applying to the Signature Program

Leadership Arlington invites you to apply to the Signature Program Class of 2013! Thank you for your interest!

Clicking "Next" at the bottom of this page to proceed to the online application.

This form CANNOT be saved. We strongly suggest that you complete your application in a Word document (download here) and paste them into the form when you are ready to complete the application in its entirety.


You may e-mail a completed Word or PDF application to Liz Nohra, at lnohra@leadershiparlington.org.

Deadlines:
  • Early Bird Deadline: 12 noon on Monday, April 16, 2012. $50 Application Fee.
  • Final Deadline:12 noon on Tuesday, May 15, 2012. $100 Application Fee.

Application Process:
1. Complete the
Online Application

After submitting the application, you will be taken to a page with links to the following forms:

2. Pay the Application Fee:
  • $50 until applications close at 12 noon on April 16, 2012.
  • After that, $100 until the final deadline at 12 noon on May 15, 2012. 
  • To go directly to the Application Fee Payment Page, click here.
  • Checks may be mailed to:
    Leadership Arlington
    4420 N. Fairfax Drive, Suite 102
    Arlington, VA 22203

3. Submit a Supervisor Statement of Support (required):

  • Each applicant is required to have their supervisor review and sign the statement of support in order for their application to be complete.
  • Those who are self-employed or are the chief executives of their organizations may submit an explanation.
  • Chief executives at nonprofit organizations are requested to submit a statement of support from their board chair.
  • To go directly to the Statement of Support Form, please click here.

4. Submit a Statement of Relevance (if applicable):

  • If an applicant does not live or work in Arlington County, they must submit a statement of relevance detailing why they are interested in Leadership Arlington's Signature Program.
  • To go directly to the Statement of Relevance Form, click here.

5. Submit a Scholarship Request (if applicable):

  • If the applicant desires a scholarship, they must complete the scholarship request form with the organization's operational budget.
  • All requests remain confidential.
  • All scholarship requests must be submitted with the application.
  • To go directly to the Scholarship Request Form, click here.

Application Checklist

Application Fee:

  • I agree to pay an application fee of $50 before 12 noon on Monday, April 16, 2012.  After the application fee becomes $100 until the final deadline on May 15, 2012.
  • Pay the application fee online, or send a check to: Leadership Arlington | 4420 N. Fairfax Drive, Suite 102 | Arlington, VA 22203. You will be directed to the payment page when your application has been submitted.
 Program Information, Qualifications, and Applicant Criteria: I have carefully read the Signature Program information page and understand that the program is a 10-month program. Click here to read about the Signature Program.

 Attendance Policy: I have reviewed the calendar of program days and will miss no more than 2 program days throughout the course of the program. View program calendar for the Signature Program Class of 2013.

 Mandatory Attendance at Opening Retreat: I understand that, if accepted, attendance at the opening retreat is mandatory. The opening retreat will take place on Thursday, September 13th and Friday, September 14th, 2012.

 Tuition: I understand that, if accepted, tuition of $4250 will be due on August 1, 2012 unless other arrangements have been made with the President & CEO.

 Statement of Commitment: I understand the mission of Leadership Arlington. If selected, I will devote the required time and pay my tuition by August 1, 2012.  If I am unable to comply with the requirements, I will voluntarily withdraw from the program. I understand that, in the interest of the class experience for all participants, any participant may be removed from the class if, in the opinion of Leadership Arlington, that participant’s conduct is not conducive to the work of the group. I further understand that tuition is not refundable in whole or in part.

About You
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Applicant Information
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Contact Preference


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Home Address

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Work Info
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Education and Training

Please list your education and training (beginning with the most recent):

Community Involvement

Other Activities & Accomplishments

Tell Us About Your Leadership

Tell Us More About Your Community Involvment

Your Contribution to Leadership Arlington

Your Expectations

Your View of the County

Please list two pressing issues facing Arlington County

Additional Information


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4420 N. Fairfax Drive, Suite 102 Arlington, Virginia 22203
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