Indiana Leadership Forum Application
To apply for an interview, submit this form and email a resume and two reference letters to by Friday, September 10th, 2021.

Reference letters can also be mailed to:
Indiana Leadership Forum
Attn: Selection Committee
PO Box 3021
Indianapolis, IN 46206

A Selection Committee comprised of alumni and board members will evaluate all complete application files, based on the selection criteria. Qualified candidates must be available to participate in an interview with the Selection Committee the week of September 13th or September 20th.

NOTE: You cannot save this form and return to it to complete it. We recommend using a Word document to write your answers then copy and paste them into this form when you're ready to submit the final version.

Please call 317-908-6667 with any questions regarding the Indiana Leadership Forum or the application process.
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Section I - Personal Information
First Name *
Last Name *
Nickname (preferred First Name) *
Address *
City *
State *
Zip *
County of Residence *
Employer *
Position/Title *
Business Address *
Mobile Phone Number *
Email Address *
Date of Birth *
Section II - Education
Name high school and list college(s), advanced degrees, and any specialized training. Include City/State, Your Degree/Major (If Applicable), and Dates Attended. *
Academic Activities, Honors, or Awards *
Section III - Community Involvement
Please list any community, religious, athletic, social or professional organizations with which you are an active member. Include your title/responsibility in the organization and your length of involvement. *
Describe what you consider to be your most important contribution to your community and why. (200 words max) *
If selected for the Indiana Leadership Forum, how do you envision utilizing the skills developed through ILF in your community? (200 words max) *
Section IV - Issues
In your opinion, what is one of the most pressing issues facing Indiana today and why? Provide specific details describing how the government can best address this concern. (200 words max) *
Name one person who has influenced your interest in government, public policy or politics and why? (200 words max) *
Section V - Political Involvement
Are you an active voter? *
Identify Your Precinct/County: *
Identify Your Indiana House District: *
Identify Your Indiana Senate District: *
Please list any political involvement you have had: pollworker, volunteer, etc. *
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