Legacy Leadership Institute on Public Policy application form 2020-2021
The Legacy Leadership Institute on Public Policy, based in the University of Maryland School of Public Health, is designed to provide residents aged 50+ with new careers as Legacy Service Leaders during retirement. These leaders will receive training and will work with elected officials to help address the challenges facing the state of Maryland.

Unfortunately due to COVID-19, the Legacy program has been changed for 2020-2021. Due to physical distancing requirements, we will be unable to bring on new participants in the Legacy program.

Legacy alumni will be serving to support the General Assembly this year because they already receiving the training and have the experience to support the legislature working remotely from home.

We are keeping a record of all interested persons, and they will have the opportunity to apply for the 2021-2022 class. You may submit your interest in the form below.

Interested in the Legacy Leaders program for future years? Please fill out the form below.
Email address *
First Name *
Last Name *
Street Address
City, State
Zip Code
County
Daytime Phone # *
Evening Phone #
How did you hear about Legacy Leadership Institute on Public Policy? *
Briefly describe present/previous employment *
Briefly describe any special skills
Are you currently employed?
Clear selection
Do you plan on retiring in the near future?
Clear selection
Approximately when do you plan on retiring?
Are you currently involved with a volunteer organization(s)?
Clear selection
Please give a brief description
Please indicate your highest level of completed education
Clear selection
Is there a particular office you are interested in serving in?
Clear selection
Which office?
References: Please list two (2) people who know you well either as an employee, as a friend, or as a volunteer. (Name, Phone Number, and Email) *
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Maryland, College Park. Report Abuse