Leadership Application

Applications are accepted year-round, but must be received by June 15 to be eligible for the next year's class.

Participant selection is determined by a volunteer committee on the basis of a written application, including essay questions. Participants are selected from a cross section of business, professional, non-profit and local residents. Acceptance into Greater Burlington Leadership cannot be guaranteed, so applicants are encouraged to apply again if they are not accepted the first time.

View Class Schedule

Complete the form below and upload your attachments by June 15. Letter of Recommendation and Signature Page are required, upload below or mail to 610 N. 4th St, Ste 200 Burlington, IA 52601. If the form is left unattended the form will time out.

Download: Signature Page

For more information, contact to Kay Sackville Breuer or 319-208-0041.

* Indicates a required field

Application Form

Name:

Title:

Employer:

Employer Mailing Address:

City:

Cell Phone:

Business Phone (xxx-xxx-xxxx):

Business Email:

Briefly describe your work responsibilities. :

What are you hoping to gain from Greater Burlington Leadership?:

Please describe any civic, business or professional activities you are involved with?:

What is one major opportunity and/ or challenge you see facing Greater Burlington?:

Letter of Recommendation (Required):

Accepted Formats: Word Documents, PDFs

Signature Page (Download Above):

Accepted Formats: PDFs