PLEASE NOTE: Answers to questions 13-18 should include a minimum of 150 words. 

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* 1. Full Name

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* 2. Employer

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* 3. Work email

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* 4. Position title

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* 5. Phone 

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* 6. Business Address

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* 7. If your organization is a nonprofit (skip if not applicable), please select the following that applies:

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* 8. If you are a member of West YP (skip if not applicable), please select the following that applies:

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* 9. If you are a member of the Latino Trade Network (skip if not applicable), please select the following that applies:

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* 10. How did you hear about WDMLA?

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* 11. How many years have you been in the West Des Moines area?

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* 12. Who nominated you for leadership training?

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* 13. Please describe your career plans and aspirations. 

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* 14. How would you describe leadership? 

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* 15. What leadership roles have you held and how have you demonstrated leadership in your own work?

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* 16. Why do you want to be a part of the West Des Moines Leadership Academy?

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* 17. How do you expect the Leadership Academy to enhance your future opportunities to lead yourself, lead others and lead within your community?

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* 18. Please describe how you have become involved in the communities which you have lived and worked, including volunteer work, work with charitable or municipal organizations. How do you plan to become more involved with the West Des Moines Community?

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* 19. Upload your resume.

PDF, DOC, DOCX file types only.
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* 20. Upload recommendation letter 1

*If your recommendation letters are not currently available, you may email them to wdmla@wdmchamber.org 

Please note the preferred file naming conventions and accepted file types listed below.

PDF, DOC, DOCX file types only.
Choose File

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* 21. Upload recommendation letter 2.

PDF, DOC, DOCX file types only.
Choose File

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