2018 -2019 Leadership Kentucky Crushed Stone Application

2018-2019 Leadership Kentucky Crushed Stone Application

Application Deadline - Noon, Friday, August 3

 

Thank you for your interest in second annual KCSA Emerging Leader program. Below you will find the application.

  • All applications will be judged on their merit alone using the following criteria:
    • Diversity (job, role, Associate/Producer member)
    • Tenure (length of current job/role)
    • Leadership Experience (within current company and outside of industry)
    • Association participation
    • References
       
  • Please take time and be as thorough and thoughtful in your answers as possible.
  • It is your responsibility to contact your references and have them return an official Reference Form (see attached).


Emerging Leader's Full Name:
Company:
Business Address:
Preferred badge name:
Email address:
Alternate or Assistant’s Email:
Cell phone:
Work phone:
How were you referred to KCSA’s Emerging Leader Program? :
Education (School/University/Trade School/Major/Degree) :
Current Job Title:
Years of service:
Briefly describe your responsibilities in your current position:
Previous employment/job responsibilities:
Business and/or Professional affiliations:
What about the Emerging Leader Program motivated you to submit this application:
What specific skills/knowledge do you hope to gain from your participation in the Emerging Leader program:
Describe your unique blend of personality, skills and life experiences, and how you would contribute to the diversity of the class:
Personal biography (will be used in publications. Please use 3rd person):

References


The Emerging Leader applicant will be required to have three references with their application. Applicants are responsible for ensuring their references complete and return the reference information. Applications will only be reviewed after all three Recommendation Forms are received. References should include no more than two from within your organization. For your convenience (as the applicant), you can use the below reference boxes or you can send the downloadable reference templace (word doc) or paper form to your references and they can email it back to you so you can upload it with the online application.

Download a reference template here (Word DOC)

Reference #1

Please include the following information in the below box:

Please include the Emerging Leader Candidate's Name: Your name, Your email, Your phone, Your Company, Your Title

Please answer the following questions:

1) How does the candidate demonstrate leadership qualities?

2) What particular strengths will the candidate bring to the class perspective?

3) What could the candidate gain from participation in the Emerging program?

Additional Comments:

:
This information can be uploaded (attached) to the application.:
Reference #2

Please include the following information in the below box

Please include the Emerging Leader Candidate's Name: Your name, Your email, Your phone, Your Company, Your Title

Please answer the following questions:

1) How does the candidate demonstrate leadership qualities?

2) What particular strengths will the candidate bring to the class perspective?

3) What could the candidate gain from participation in the Emerging program?

Additional Comments:

:
This information can be uploaded (attached) to the application.:
Reference #3

Please include the following information in the below box

Please include the Emerging Leader Candidate's Name: Your name, Your email, Your phone, Your Company, Your Title

Please answer the following questions:

1) How does the candidate demonstrate leadership qualities?

2) What particular strengths will the candidate bring to the class perspective?

3) What could the candidate gain from participation in the Emerging program?

Additional Comments:

:
This information can be uploaded (attached) to the application.:
What could the candidate gain from participation in the Emerging program?: