LMT Application Class of 2027 URLThis field is for validation purposes and should be left unchanged.First Name(Required)Last Name(Required)Preferred NamePreferred Mailing Address:(Required) Personal Work Personal AddressStreet Address(Required)City(Required)State(Required)Zip(Required)Work AddressStreet Address(Required)City(Required)State(Required)Zip(Required)Preferred E-mail Address:(Required) Personal Work Personal Email(Required) Enter Email Confirm Email Work Email(Required) Enter Email Confirm Email Date of Birth (MM/DD)(Required)Gender(Required)Select GenderMaleFemaleRace/Ethnicity(Required)American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderWhitePrefer Not to AnswerRegistered Voter?(Required) Yes No County of Residence(Required)Select CountyCheatham CountyDavidson CountyDickson CountyMaury CountyMontgomery CountyRobertson CountyRutherford CountySumner CountyWilliamson CountyWilson CountyCounty of Employment(Required)Select CountyCheatham CountyDavidson CountyDickson CountyMaury CountyMontgomery CountyRobertson CountyRutherford CountySumner CountyWilliamson CountyWilson CountyEmployment & IndustryCurrent Employer(Required)If Self-Employed, please write "Self-Employed"Position/Title(Required)Industry(Required)Select IndustryFor-ProfitNonprofitGovernmentEducationUpload Resume(Required)Accepted file types: pdf, Max. file size: 256 MB. Please include all education, background training, certifications and your employment history from the last 5 years.Community Involvement & LeadershipPlease list three (3) community organizations you've been involved with and please describe any and all ways you were involved, including years served, positions held and any achievements. 2000 Character Limit.Community Involvement #1(Required)Community Involvement #2(Required)Community Involvement #3(Required)Name and Year of Other Leadership Programs CompletedExpectations & ReflectionBiggest challenge/opportunity in the 10 county region(Required)Goal for participating in LMT(Required)Additional DocumentationPlease Upload the Following:Professional Headshot(Required)Accepted file types: jpg, png, pdf, Max. file size: 50 MB. Professional Bio (Maximum of 1000 Characters)(Required)Letter of RecommendationsATLEAST ONE Letter of Recommendation has to originate from a LMT AlumLetter of Recommendation(Required)Accepted file types: pdf, Max. file size: 30 MB. Letter of Recommendation #2(Required)Accepted file types: pdf, Max. file size: 30 MB. Program CommitmentI understand the Opening Retreat on August 20-21, 2026 is mandatory and attendance is required for program selection.(Required) Yes No I am committed to attending all sessions and adhering to the LMT Attendance Policy.(Required) Yes No I understand the Closing Retreat and Commencement on June 8, 2027 is mandatory and attendance is required.(Required) Yes No Should you have medical or physical conditions that LMT should be aware of in order to ensure your safe participation in programming activities (walking, standing, stairs, loading/unloading charter bus, outdoor activities/environments, etc.), please contact Pat Lawson, Executive Director (plawson@leadmt.org).LMT 2027 Tuition: $2,250(Required)Full or 50% payment is required (Payable by participant or company sponsor) prior to full program admission. I understand that lodging and transportation to/from the session is the responsibility of the participant. I understand and agree to the attendance, tuition, and travel requirements. Select All
