Leadership New Albany Class of 2027 Application

Please review the class session dates before submitting your application. Full attendance is required and applicants must commit to attending all sessions. Missing more than one will result in removal from the program and not graduating. The $1500 tuition is non-refundable. 2027 sessions dates are: 1/13/27, 2/10/27, 3/10/27, 4/14/27, 5/12/27, 6/9/27, 7/14/27, & 8/11/27.

First Name *

Last Name *

Title *

Employer Name *

Employer Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Supervisor Name

Supervisor E-mail

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Work E-mail *

Work Phone *

Personal E-mail *

Cell Phone *

Leadership New Albany is designed for established and emerging senior leaders with demonstrated professional achievement and continued leadership potential. Briefly describe your current and previous leadership roles, responsibilities, and accomplishments. *

Describe your experience leading, developing, and motivating others. Include responsibilities such as hiring, coaching, mentoring, performance management, and team building. How many direct reports do you currently manage? *

Please describe your current and past involvement in your community, including volunteer service, nonprofit or civic leadership, board or committee service, professional organizations, or other meaningful activities. You may also include relevant recognition, honors or awards. *

Why do you want to participate in Leadership New Albany, and what do you hope to gain from the experience? *

How did you hear about Leadership New Albany? *

To ensure that all participants benefit completely from the Leadership New Albany program, full attendance is required. By selecting yes, I commit to attending all sessions. My employer and I understand that missing more than one session will result in removal from the program, and the tuition is non-refundable. *

Yes No

2027 session dates are: 1/13/27, 2/10/27, 3/10/27, 4/14/27, 5/12/27, 6/9/27, 7/14/27, & 8/11/27.

Should I be accepted to the Class of 2027, I understand my company must be a Chamber member in good standing and the $1,500 tuition will be due by January 1, 2027. *

Yes No

Please list any food allergies or restrictions.

T-shirt size (XS, S, M, L, XL, 2XL) *

Upload File *

Upload a professional headshot that will be used for class announcements, social media posts, and other promotional materials.

Upload File

Upload resume or any relevant documents (optional).