Leadership Essentials 2025 Application

Thank you for your interest in Leadership Essentials! The application deadline is 10/14/24. Please contact Katherine Keefe at Kkeefe@loyola.edu if you have any questions.

First Name*

Last Name*

Cell Phone*

Personal Email*

Work Email*

Street Address*

City

State/Region

How did you learn about Leadership Essentials? If someone recommended you, please list his/her name.*

DEMOGRAPHIC INFORMATION

In order to recruit a diverse cohort, the following demographic information is requested.

Age

22-29

30-39

40-49

50 & Above

WORK INFORMATION

Current Employer*

Job Title*

Approximate Date of Hire*

(MM/DD/YYYY)

Number of Direct Reports*

Individual Contributor

1-4

5-9

10+

Supervisor Name*

Supervisor Email*

Briefly describe your current responsibilities*

If other, please specify

PERSONAL STATEMENTS

Please be thoughtful and thorough in your response.

Why do you want to participate in Leadership Essentials? What specific skills/knowledge do you hope to gain from your participation?*

Describe your leadership experience so far in your career. Provide 1 or 2 specific examples of a leadership challenge you've faced and what you have learned from it.*

Have you participated in any community service activities in the past 3-5 years? If so, please provide 1 or 2 specific examples. If not, please share how you'd like to become more involved in your community including any areas of interest (social services, mentoring, animals, the arts, etc).*

What do you consider to be your most important personal and professional accomplishments? Why? *

REFERENCES

Please provide the name & email address for two references. They can be professional or a combination of personal & professional. References should be able to speak to your leadership ability.

Reference 1 Name*

Reference 1 Email*

Reference 2 Name*

Reference 2 Email*

APPLICATION FEE

Thank you for taking the time to fill out the Leadership Essentials 2025 Application. In order for your application to be processed, please submit this form and you will be redirected to pay a $50 application fee. This can be paid via credit card. Please contact Katherine Keefe at Kkeefe@loyola.edu if you have any questions.