LEAD SouthCoast Application"*" indicates required fieldsIMPORTANT NOTICE! Due to the length of our application form, we recommend the following steps to ensure a smooth application process: Review the Form: Please take the time to review all the questions on the form. Prepare Your Answers: Compose your answers in a Word document or another text editor. Submit in One Session: Once all your answers are ready, copy and paste them into the form and submit in one session. Note: Several of our essay questions require an answer of at least 250 words. Thank you for your understanding and cooperation.Name* First Last Home Address* Address Lane 1 City ZIP / Postal Code State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHome PhoneCell Phone*Personal Email* Social Media Profiles*Please put the links to your Facebook, Instagram, or any others you wish to share, separating them with a commaLinkedIn URL* Please provide your LinkedIn URLHow did you learn about Leadership SouthCoast?*Employment and EducationEmployer - Organization Name*Your Position/Title **What is your position there?Employer Address* Address Lane 1 City ZIP / Postal Code State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificYour Work Email*Your Work Phone*Contact Information for Your OrganizationYour Direct Supervisor*Your Supervisor's Position/Title*Your Supervisor's Phone Number*Your Supervisor's EmailWho is the financial contact at your organization?*Financial Contact's Position/Title*Financial Contact's Phone Number*Financial Contact's EmailType of Organization **PublicPrivateNon-ProfitGovernmentPlease select oneResume and Background InformationUpload Resume*Max. file size: 10 MB.PDF onlyCommunity InvolvementPlease describe your community involvement.*Do you currently serve on a nonprofit or public board? If so, please note the organization name, and the length of time you have served*DiversityBriefly explain how diversity has played a role in your life and contributed to either the community leader you are today or the community leader you wish to become.*Why are you interested in participating in Leadership SouthCoast? What do you hope to gain and what qualities will you bring to the class?*Essay QuestionsEssay #1: Please describe a community leader (you do not have to name them) that you admire and believe is highly effective. What are the specific qualities that you believe make them a strong leader? How did they deal with adversity? What lessons about leadership can we learn from them?*This field requires a minimum of 250 words. The form will not submit until you have at least 250 words in this field. 0 of minimum 250 wordsEssay #2: Describe a time (personal or professional) when your leadership was challenged, and your course of action did not prove successful. How did you persevere?*This field requires a minimum of 250 words. The form will not submit until you have at least 250 words in this field. 0 of minimum 250 wordsEssay #3: Describe a situation where you worked with others from a different background than yours. Based on your experience, what advice would you give to someone who will be working with others from different backgrounds?*This field requires a minimum of 250 words. The form will not submit until you have at least 250 words in this field. 0 of minimum 250 wordsReferencesFirst Reference*Please type the name, title, email address, phone number and organization of your first referenceSecond Reference*Please type the name, title, email address, phone number and organization of your second referenceThird Reference*Please type the name, title, email address, phone number and organization of your third referenceFinancial CommitmentsEmployer's or Sponsor's Tuition Contribution*Please enter the amount your Employer or Sponsor will contribute towards the $4,000 tuition costParticipant's Tuition Contribution*If the amount above is less than $4,000 please enter the amount you plan to contributeStandards of Professional ConductLEAD Southcoast follows a specific code of conduct that serves as a foundational agreement to ensure a safe, high-trust, and professional learning environment. These Standards blend academic integrity with professional ethics to mirror the real-world responsibilities of a leader.Core Principles for Cohort SuccessCONFIDENTIALITY: To build trust, the "Vegas Rule" (what happens in the cohort stays in the cohort) is applied to class sessions, allowing leaders to share sensitive organizational challenges without fear of external exposure. | PROFESSIONALISM & RESPECT: Leaders must model the behavior they expect from their teams, including active listening and inclusive communication. | INTEGRITY & HONESTY: Commit to honesty and transparent communication, including acknowledging personal strengths and weaknesses to foster genuine growth. | COMMITMENT TO ENGAGEMENT: Active participation is vital. Cohort members should prioritize attending sessions and contributing to peer discussions to enhance collective learning. | DIVERSITY, EQUITY, AND INCLUSION: Ensure an environment where all perspectives are valued, and biases are actively challenged, fostering a sense of belonging for every member. | NONPROFIT MISSION AWARENESS & NONPARTISAN ENGAGEMENT: Cohort participants commit to engaging in the Leadership Southcoast experience with an understanding of the nonprofit sector’s nonpartisan role and public responsibility. | While the program may explore public policy, civic systems, and political contexts as part of leadership education, the cohort space is not a forum for political advocacy, party promotion, or self-promotion. Participants are expected to approach such discussions with curiosity, respect, and a learning mindset, centering mission impact, ethical leadership, and community well-being rather than personal or partisan agendas.Please note regarding Standards of Professional ConductPLEASE NOTE: The complete Standards of Professional Conduct will be distributed at the first session. If you have any questions about the standards, please contact the Leadership SouthCoast Executive Director at executivedirector@leadershipsouthcoast.org.Disclosure and Signature NotificationYour submission of this application is your signature indicating that you have read and understood the application, the requirements, the financial commitments, and agree to adhere to the Standards of Professional Conduct. If you do not understand any information given or any of the questions asked in this application, please ask for an explanation. Your submission of this application is your signature indicating that the information contained within is true, complete, and correct. Note to Applicants: You are responsible to ensure that your employer/sponsor completes the Employer/Sponsor Signature Form:https://leadershipsouthcoast.org/programs/lead-southcoast/employer-sponsor-signatures/