2022 Signature Application

Leadership Lake County has provided leadership development programs since 1987. The experiential nature of our program days and the preparation for workplace and community leadership roles are the hallmarks of our programs. The Leadership Lake County Signature Program is our flagship program, designed for established professionals in preparation for leadership service within an organization and service on non-profit boards and as community leaders. The program runs September-June for a full day on the second Wednesday of each month. 

Tuition $2750 is due on August 1, 2021

Participants in Leadership Lake County, Inc. will be selected from applicants’ submissions. Please complete this form electronically. You will receive confirmation of receipt of your application within two business days.

Application Due Date: June 1 at Noon

Business Information


Personal Information


Demographic Information (for internal use only)

More About YOU

Civic Engagement History

Employment History


In order to accomplish the program’s stated objectives, total attendance and full participation of each individual selected is necessary. Participation includes:

Mandatory attendance

Orientation - Wednesday, August 18, 2021   4:30-5:30 followed by reception with Trustees and Alumni


Opening Retreat - September 22 - 24, 2021, Punderson State Park - Wednesday Noon through Friday Noon - Overnight stay and full attendance is mandatory. Optional networking activities will be available Friday immediately following retreat.


Midyear and Closing Retreats – Full day sessions (no overnight) – Attendance is mandatory

                  Midyear Retreat – Wednesday, January 26, 2022 (4th Wednesday)

                  Closing Retreat and Graduation – Wednesday, June 1, 2022


One Full Day Each Month October through June – Second Wednesday of each Month

Attendance is required; a minimum of 80% attendance at these monthly sessions is required for graduation.

Wednesday, October 13, 2021           Wednesday, November 10, 2021           Wednesday, December 8, 2021           Wednesday, February 9, 2022

Wednesday, March 9, 2022            Wednesday, April 13, 2022           Wednesday, April 27, 2022 (2 dates in April)           Wednesday, May 11, 2022

Program Planning

All participants will serve on one program planning committee. Each group will have a graduate advisor. The committee has the responsibility of meeting, conceptualizing, planning, and implementing its respective monthly session. The monthly planning committee assignments will be announced at the Opening Retreat. The CEO approves the monthly programs 60 days in advance of the program date.

Please indicate below the monthly committee(s) on which you would prefer to serve, based upon your knowledge in a subject area, your contacts with decision makers, and your understanding of how decisions are made in that area(s). Every attempt will be made to accommodate you in one of your three choices.

Do NOT select committee choices within your current industry or area professional expertise.


Community Issues



I understand the purpose of the Leadership Lake County Signature Program and that completion of this application does not ensure a candidate's acceptance into the class.  If selected, I will devote the time required to fulfill all obligations to the program.  By entering my name is the box below, I am approving this as an authorized signature for my application.

Thank you for your application!  The Board of Trustees approves the slate of candidates at their June 2021 board meeting. Applicants will be notified of her/his status by July 1, 2021. Non-refundable tuition payment is due by August 1, 2021.

Thank you for contacting us!

We have received your application for the Class of 2020!  The slate of candidates will be submitted to the Board of Trustees for approval in June. Participants selected for the Class of 2021 will be notified the week of August 20, 2020.

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