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Leadership Development Application
This application is for candidates wanting to attend the 2019 Rotary Zone 25B-29 Leadership Development Program in Overland Park, KS September 25-29
What is your full name?
What Rotary club do you belong to? (Must be a current member of a District 5970 Club)
What is your email address?
What is your prefered phone number?
What is your mailing address?
Describe your participation in Rotary
Describe your future aspirations in Rotary, particularly in leadership
Explain how you would leverage the leadership training at the Zone Institute in September and how this will be beneficial to others in District 5970
Submit a video of three minutes or less telling us about yourself; personal interests, vocational interests, family and anything else that introduces us to you as a person. You may post a link in your answer or you may email the video to Suellen Kolbet at
(Please indicate the method you will be transmitting the video to us).
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