Application Information - Application

Leadership SD First Time Application

Fill out the application below if this is your first time applying for Leadership South Dakota. If you have applied during a previous year, please fill out Re-Applying Applicant Form instead.

First Time Applying

This is the application for those who are applying for Leadership South Dakota for the first time. A non-refundable $50 registration fee is required when submitting the application.

You will need:

Two References
Résumé & Headshot
Signed Employer Statement
Signed Agreement Form
Signed Tuition Assistance Request Form (optional)

Step 1 of 7

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PERSONAL INFORMATION
Name*
First Last
Email*
Phone*
Home Address*
Street Address Address Line 2 City State ZIP Code
County of Residence*
Leadership South Dakota is committed to selecting a diverse group of participants. Your response to the following will assist the Selection Committee in determining class composition.
Ethnicity*
If you are an ethnicity other than what we listed, please specify*
Gender
- Male
- Female
Birth Place*
City State
Birth Date*
MM
DD
YYYY
EMERGENCY CONTACT INFORMATION
Name*
First Last
Relationship*
Phone*
Name
First Last
Relationship
Phone

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EMPLOYMENT INFORMATION
Job Title*
Employer/Business Name*
Employer/Business Phone*
Employer/Business Address*
Street Address Address Line 2 City State ZIP Code
For Leadership SD, please use my:*

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LEADERSHIP PERSPECTIVE
The vision of Leadership South Dakota is Building the next generation of South Dakota leaders. The mission is to prepare and promote future leaders in the state with the knowledge and skills they need to lead South Dakota organizations in the future. Please take a few minutes to offer responses to the following:
How did you learn about Leadership South Dakota?*
If you learned about us in another way, please specify*
Why are you applying for the Leadership South Dakota program? What are your goals for participation?*
In one sentence, tell us a little about yourself.*
Choosing a word for 2021 could dramatically increase your effectiveness in the coming year. There is incredible power in having a single focus. With that in mind, what is your one word for this year?*
In the Leadership South Dakota program we spend time learning about the Social Change Wheel. From the drop-down list below, select one service area that you are involved in or are passionate about.
Service Area*
With the question above, provide an example or plan for your involvement in advocacy.*
With the question above, provide an example or plan for your involvement in charitable volunteerism.*
With the question above, provide an example or plan for your involvement in community development.*
With the question above, provide an example or plan for your involvement in economic development.*
With the question above, provide an example or plan for your involvement in political activities.*
With the question above, provide an example or plan for your involvement in philanthropy.*
With the question above, provide an example or plan for your involvement.*
With the knowledge you will gain by participating in Leadership South Dakota, what are your stretch goals, dreams, and aspirations as a Leadership SD alumnus?*
Be Bold! Complete this sentence: As a result of my involvement and participation in Leadership SD I will…*

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APPLICANT REFERENCES
Please provide two references (one personal, one professional). Please notify them that they may be contacted by the Leadership SD staff for further information.

Reference #1
Reference #1 Name*
First Last
Reference #1 Email*
Reference #1 Personal Phone*
Reference #1 Work Phone*
Reference #1 Organization*
Reference #1 Relation to Applicant*

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APPLICANT REFERENCES
Please provide two references (one personal, one professional). Please notify them that they may be contacted by the Leadership SD staff for further information.

Reference #2
Reference #2 Name*
First Last
Reference #2 Email*
Reference #2 Personal Phone*
Reference #2 Work Phone*
Reference #2 Organization*
Reference #2 Relation to Applicant*

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REVIEW

By checking the boxes below, I certify that:
All of the information provided is complete and true to the best of my knowledge.*
- Yes
If selected, I am fully prepared to be an active participant, I commit to attend all sessions, and I agree to devote the time and resources required to complete the Leadership South Dakota program.*
- Yes
Upload Résumé & Headshot*
Drop files here or
To complete this application, please upload the Leadership South Dakota Agreement Form with your application.
Upload Leadership South Dakota Agreement Form*
To complete this application, please upload the Leadership South Dakota Agreement Form with your application.
Drop files here or
To complete this application, please upload the Employer Statement Form with your application.
Upload Employer Statement Form*
To complete this application, please upload the Employer Statement Form with your application.
Drop files here or
Limited partial scholarships (up to $1,500) are available on the basis of need. Request of financial assistance has no negative impact on the acceptance of your application. If you need financial assistance, you must complete and upload the Tuition Assistance Form with your application.
Optional Upload: Tuition Assistance Form
Limited partial scholarships (up to $1,500) are available on the basis of need. Request of financial assistance has no negative impact on the acceptance of your application. If you need financial assistance, you must complete and upload the Tuition Assistance Form with your application.
Drop files here or

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PAYMENT

In order to submit an application for Leadership SD's consideration for the first time, a $50 application fee is required (non-refundable).
First Time Applicant Fee
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Payment Information*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Would you like an email receipt?
- Yes, Please!
If so, we'll send to the email address you designated in Step 1 - Personal Information.
Total
$0.00
Comments
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First Time Applicant

Leadership SD First Time Application

First Time Applying

Step 1 of 7

PERSONAL INFORMATION

EMERGENCY CONTACT INFORMATION

EMPLOYMENT INFORMATION

LEADERSHIP PERSPECTIVE

APPLICANT REFERENCES

Reference #1

APPLICANT REFERENCES

Reference #2

REVIEW

PAYMENT