LEAP Application 2020
Thank you for your interest in IIBN New York's Leadership & Executive Acceleration Program (LEAP)™. Please fill out this form and we'll be in touch with you shortly. Please note that incomplete applications will not be processed.
Applicants are screened by a selection committee of LEAP and IIBN Board members. The selection process is competitive and space is limited. We seek diversity of sector and skill-set. LEAP is ideal for applicants in mid-career who are currently employed or run their own business entity. Must demonstrate a commitment to LEAP in the Community.
Address Line 1
Address Line 2
City, State, and ZIP
All applicants must reside in the Greater New York City Area
Preferred Phone Number
Are you Irish or Irish-American?
Please outline any other Irish-related businesses, alumni or networks you are a member of:
Please list any educational institutions you have attended, qualifications and years of attendance and professional certification:
Please include any relevant colleges, universities, adult education programs, etc. and graduation year for each.
What is your area(s) of expertise?
How many years of experience do you have in your area of expertise?
Please select your current industry or business sector
Manufracturing/Automotive/Electronics/Pulp and Paper/Steel/Shipbuilding
Mass Media/Broadcasting/Film/Music/News Media/Publishing/World Wide Web/
What is your employment status?
Which company or organization do you work for?
What title do you hold at your company or organization?
Please provide your Twitter handle or similar social media account.
If you’re not a big social media user, don’t worry. Fill in what you can.
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