NAYGN 2025 NucLEADers Application Question Title * 1. Please provide your full name Question Title * 2. Please provide a preferred email address Question Title * 3. Please provide a preferred phone number Question Title * 4. Please select your age range 18-22 23-27 28-32 33-37 Question Title * 5. Please specify your gender Female Identifying Male Identifying Non-Binary/Genderfluid Question Title * 6. Please indicate your ethnicity American Indian or Alaska Native Asian or Asian American Black or African American Hispanic or Latino Native Hawaiian or other Pacific Islander White or Caucasian First Nations, Inuit, or Métis Question Title * 7. Please provide the name of your employer Question Title * 8. Please provide your current job title Question Title * 9. Please specify the current level that best fits High School Student College/University Student Individual Contributor Supervisor Manager Question Title * 10. How long have you been in your current position? Question Title * 11. What is the title of the next position you desire? Question Title * 12. Are you able to commit for the full 12-month training? Yes No Question Title * 13. Please provide the email address of your direct supervisor or management sponsor (an email will be sent to them to confirm your participation) Question Title * 14. Are you a registered NAYGN Member? Yes No Question Title * 15. Are you currently in a NAYGN Leadership position? (Local Chapter Lead (LCL), Region Lead, Committee or Subcommittee Lead, etc.) Yes No Question Title * 16. If you answered 'yes' to the previous question, what is your current leadership position? Question Title * 17. Please provide the URL of your LinkedIn profile, if applicable Question Title * 18. If selected for the NucLEADer program, do you commit to completing a capstone project? This could involve leading a committee or subcommittee, leading a new initiative, organizing an event that involves several NAYGN regions, or other impactful projects at the continental level. Yes No Question Title * 19. Essay question: How would participating in this program benefit you? Done