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      <div data-sentry-element="OptionLabel" data-sentry-source-file="RadioButtonOption.tsx" class="styled__OptionLabel-sc-74vv4u-5 gmklym">I will be responsible for the subsidized tuition amount of $2,895.</div>
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      <div data-sentry-element="OptionLabel" data-sentry-source-file="RadioButtonOption.tsx" class="styled__OptionLabel-sc-74vv4u-5 gmklym">I do not need my tuition to be underwritten and will be responsible for the full cost of the program - $7500.
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Leadership-Program-of-the-Rockies-Application-2024-2025_V5 template

BY AUDRY OXLEY

EXPIRES ON AUG 23, 2024

RS

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LEADERSHIP-PROGRAM-OF-THE-ROCKIES-APPLICATION-2024-2025_V5 TEMPLATE

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2024/2025 LPR Class Application
Application Deadline: August 31, 2024
Available to complete online at www.leadershipprogram.org/apply-online/



You can submit this form online and email supplemental information to
apply@leadershipprogram.org when completed. Please include your full name on all
submitted documents.
Personal Information
NAME (Last, First, Middle):

HOME ADDRESS:

CITY:

STATE:

ZIP:

COUNTY:

STATE SENATE DISTRICT:

STATE HOUSE DISTRICT:

EMAIL ADDRESS:

HOME PHONE:

WORK PHONE:

MOBILE PHONE:













Professional History
CURRENT EMPLOYER:

TITLE/POSITION:

WORK ADDRESS:

CITY:

STATE:

ZIP:

JOB DESCRIPTION:








Past Employers
NAME:

CITY:

STATE:

TITLE/POSITION:

NAME:

CITY:

STATE:

TITLE/POSITION:

NAME:

CITY:

STATE:

TITLE/POSITION:













Leadership Program of the Rockies / 1777 South Harrison St., Suite 807 / Denver,
CO
80210 / www.leadershipprogram.org / Ph: 303.488.0018


Professional Achievements and Highlights
Please describe any outstanding contributions made by you in your professional
endeavors.
List major business and professional activities in which you participated in the
last five years.

Educational Background
Please provide the following information about your education: high school and
beyond.
List and describe major extracurricular activities.
NAME

FIELD OF STUDY

HONORS/AWARDS























































Civic Participation
Please list the major civic, social, educational, and political activities in
which you’ve participated the past five years.
List the organization, your role, and how you made a difference. Note any awards
or special recognition.

Leadership Program of the Rockies / 1777 South Harrison St., Suite 807 / Denver,
CO
80210 / www.leadershipprogram.org / Ph: 303.488.0018


Issue Focus
Please describe an issue or opportunity crucial to our state or nation. What are
your recommendations for a solution?



Leadership
Why do you want to participate in the Leadership Program of the Rockies? How
will you utilize the education you receive?

Future Ambition
What do you hope to achieve in the future in terms of public policy?

Financial Obligation
LPR is limited to 65 students per year. Thanks to the LPR donors who generously
underwrite the majority of program expenses for students, tuition for this
year’s program will be $2,895.
Please choose your preferred payment method:

I will be responsible for the subsidized tuition amount of $2,895.
I would like to be considered for a scholarship (If so, you must attach a letter
explaining why you should be condered).
I do not need my tuition to be underwritten and will be responsible for the full
cost of the program - $7500.

Leadership Program of the Rockies / 1777 South Harrison St., Suite 807 / Denver,
CO
80210 / www.leadershipprogram.org / Ph: 303.488.0018


PAYMENT PLANS ARE AVAILABLE. Also, many applicants raise their tuition from
employers, friends, and other donors. Tax deduction forms for donations are
available upon request. Tuition is non-refundable.
References
Two letters of recommendation on your behalf must be submitted by August 31st
for your application to be complete. Please provide the information of those who
are writing your two letters of recommendation.
1. NAME

BUSINESS/OCCUPATION:

TITLE/POSITION:

EMAIL ADDRESS:

BEST PHONE:

CITY:

STATE:

ZIP:









2. NAME

BUSINESS/OCCUPATION:

TITLE/POSITION:

EMAIL ADDRESS:

BEST PHONE:

CITY:

STATE:

ZIP:









Participation
The LPR program consists of nine full-day sessions held the second Friday of
every month, October through June.
Students are required to participate in all of the sessions. Notice of absence
must be given by the student to LPR at
least a week prior to LPR sessions. Students will incur a $50 meeting fee for
each unauthorized absence. Absences
may be cause for dismissal from the program. Tuition is non-refundable,
regardless of graduation status.

If selected into LPR, can you devote the required time to this program? _____
Yes _____ No


LPR Application Checklist
Submit letters of recommendation and scholarship requests to
apply@leadershipprogram.org if not attached to application.
Completed Application

Letter of Recommendation #1

Scholarship Request Letter (If Required)



Letter of Recommendation #2

Supplemental Materials (Optional)







Click to upload letter of recommendation



Click to upload scholarship request letter



Click to upload letter of recommendation


I have read and understand the above statements and agree to the terms of the
Leadership Program of the Rockies.
APPLICANT SIGNATURE:

DATE:

Select date


Signature

Please submit two letters of recommendation by August 31st to:
apply@leadershipprogram.org
Please include your full name on each document.
Leadership Program of the Rockies
1777 South Harrison Street, Suite 807, Denver, CO 80210
Info and online application at www.leadershipprogram.org
Leadership Program of the Rockies / 1777 South Harrison St., Suite 807 / Denver,
CO
80210 / www.leadershipprogram.org / Ph: 303.488.0018






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