2026 Signature Application

Leadership Lake County, a 501(c)(3) nonprofit founded in 1986, empowers leaders at every life stage through impactful and engaging programs.

The Signature Program, designed for executive and established community leaders, provides a comprehensive leadership development experience focused on:

Enhancing leadership skills and competencies
Deepening knowledge of Lake County
Addressing current local issues

Application Deadline: May 31, 2025 by 5pm. Please complete the application electronically using Google Chrome or Mozilla Firefox.

Program Fee: $3,400 (non-refundable), due by August 1, 2025.

Important Note: Applications are competitive, with acceptance notifications sent by June 6, 2025. Limited to 45 participants, the program’s costs are allocated per individual.

If you are unable to participate after submitting an application, please notify Juliana Petti, Director of Professional Programs, at JPetti@Leadershiplc.org promptly to allow consideration of a waitlisted candidate.

First Name

Last Name

Name as it should appear on Nametag

Business Information

Business/Organization Name

Title/Position

Business Email

Business Phone

Business Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Personal Information

Personal Email

Mobile Phone

Home Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Spouse/Partner First and Last Name

Birthdate (mm/dd/yyyy)

Dietary Restrictions - Please note any restrictions/allergies

Demographic Information (for internal use only)

Sex

Select Gender

Female
Male
Trans
Prefer not to answer

Ethnicity

Select One

White
Asian
African American
Hispanic-Latino
Native American
Bi-Racial
Other

Your Goals for the Program

Your Program Goals

What are three (3) goals you aim to achieve through your participation in this program?

Education/Training

Name of High School

Graduation Year

Name of College or Educational Institution

Degree/Major or Certification

Name of College or Educational Institution

Degree/Major or Certification

Military Service

Military Service - Branch/Dates

Civic Engagement

Major volunteer roles at this time. Please include leadership positions where applicable.

Community Organizations/Nonprofits I am interested in serving

Employment History

Previous Employer Name/City

Dates/Title/Responsibility

Previous Employer Name/City

Dates/Title/Responsibility

Participation

In order to accomplish the program’s stated objectives, total attendance and full participation of each individual selected is necessary.

Participation includes:

*Orientation: August 27, 2025 from 4pm-5:30pm followed by a reception with our Board of Director and Alumni from 5:30pm-7pm

*Opening Retreat: September 18-19, 2025 at Overnight Retreat at Punderson Manor & Lodge starting at 9am on 9/18 and ending at 2:45pm on 9/19.

History Day I Leadership Lesson: Identifying Technical vs. Adaptive Challenges: October 8, 2025 from 7:30am-3:45pm

Education Day l Leadership Lesson: Engage New Voices: November 12, 2025 from 7:30am-3:45pm

Business Labor & Economy Day I Leadership Lesson: Energize Others: December 10, 2025 from 7:30am-3:45pm

*Midyear Retreat I Leadership Lesson: Start Where They Are: January 21, 2026 from 8am-4:15pm

Health Care I Healthy Living Day I Leadership Lesson: Purposeful Experiments: February 11, 2026 from 7:30am-3:45pm

Public Safety Justice & Government Day I Leadership Lesson: Intervene Skillfully: March 11, 2026 from 7:30am-3:45pm

Environment Day I Leadership Lesson: A Shared Purpose: April 8, 2026 from 7:30am-3:45pm

Quality of Life Day I Leadership Lesson: Manage Self: May 13, 2026 from 8am-5pm followed by a family-friendly cook-out with alumni from 5pm-7pm at The Lake Erie Bluffs Shelter

*Closing Retreat & Graduation: June 3, 2026 from 8:45am-12:15pm and 6pm-9pm

*Mandatory attendance required. We ask for 80% attendance overall to be eligibale for graduation.

Questions about participation? Reach out to Juliana Petti, Director of Professional Programs JPetti@leadershiplc.org.

Time Commitment

Will you be able to fulfill this time commitment?

YES
NO

Employer/Family Support

Do you have the full support of your employer/family for the time required to participate effectively in this program?

YES
NO

Program Cost

The program cost is $3,400 per participant, which covers the opening retreat, all program meals, transportation, materials, and a $50 non-refundable application fee. If selected, the $50 application fee will be applied toward the $3,400 program cost. If waitlisted, your application may be reconsidered upon request without incurring an additional fee. No other direct program expenses are anticipated. The $3,400 program fee is non-refundable and due by August 1, 2025.

How will your tuition be paid?

Employer
Personal

Program Referral

Referred to Program by:

Program Commitment

I understand that submitting this application does not guarantee acceptance into the Leadership Lake County Signature class. If selected, I commit to dedicating the necessary time to fulfill all program requirements and to paying the program fee in full. By entering my name in the box below, I certify this as my authorized signature for the application.

Applications are highly competitive, with acceptance notifications sent by June 6, 2025. As only 45 spots are available, program costs are allocated per participant.

If you are unable to participate after submitting the application, please notify Juliana Petti, Director of Professional Programs, at JPetti@Leadershiplc.org promptly to allow consideration of a waitlisted candidate.

First Name

Last Name

Date

Application Fee

Please note the $50 application fee is non-refundable. If selected, the $50 application fee will be applied toward the $3,400 program cost. If waitlisted, your application may be reconsidered upon request without incurring an additional fee.

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Sub Total

$50.00

TOTAL

$50.00

Payment Method

Credit Card

Credit Card Type

Select

Name on Card

Credit Card Number

Expiration Date

Month

Year

Verification Number

Thank you for your application! Acceptance notifications will be sent by June 6, 2025.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Application Confirmation – Leadership Lake County Signature Class of 2026

Thank you for submitting your application for the Leadership Lake County Signature Class of 2026. Applications are competitive, and acceptance notifications will be sent by June 6, 2025. With only 45 spots available, program costs are allocated per participant.

If you are unable to participate after submitting your application, please promptly notify Juliana Petti, Director of Professional Programs, at JPetti@Leadershiplc.org to allow consideration of a waitlisted candidate.

Thank you,

The Leadership Lake County Team

View Submission