Women In Leadership Application Form – FOCUS

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  - At FOCUS St. Louis, we believe that everyone possesses the power to be a leader and that even the most difficult issues are solvable. Through our experience-based leadership programs and civic issues education, we help people better understand our region and build their capacity for change.
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  - FOCUS offers a continuum of programs to meet participants where they are and prepare them to take the next step in their civic leadership journey. Our programs challenge leaders to think critically, to collaborate across divisions and to see the region through new eyes.
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  - FOCUS strives to be a connector of people and ideas. We host a variety of events throughout the year to bring people together, to encourage dialogue and discussion and to provide education on key regional and civic issues.
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  - Help us create a thriving St. Louis! As a 501(c)3 nonprofit, FOCUS depends on the support of our members and donors to continue our work of educating and connecting leaders and facilitating the important conversations.
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Women In Leadership Spring 2024 Application

"*" indicates required fields

Two recommendations are also required. A link to the recommendation form will be emailed to you upon your application submission, or you can access the form here.

Name*

First Last

Preferred Name

Email*

Title/Position*

Employer/Organization*

Preferred Mailing Address

Home

Work

Home Address

Street Address Address Line 2 City State ZIP Code

Work Address

Street Address Address Line 2 City State ZIP Code

Preferred Phone Number

Phone Type

Home

Mobile

Work

Number of Years in the St. Louis region

Are you a graduate of a FOCUS St. Louis program?

Yes

No

If yes, which program(s)?

Coro Fellowship in Public Affairs

Emerging Leaders

Experience St. Louis

FOCUS Impact Fellows

Leadership St. Louis

Youth Leadership St. Louis

Other

Demographics

The following questions help us to measure the diversity of our class and our outreach efforts.

Date of Birth (in month/day/year format)

MM slash DD slash YYYY

Age

Which categories describe you?

Select all that apply.

American Indian or Alaska Native

Asian

Black or African American

Hispanic, Latino or Spanish origin

Middle Eastern or North African

Multi-Racial

Native Hawaiian or Pacific Islander

White/Caucasian

Some other race, ethnicity or origin

If other, please specify:

Select county of residence.

Employment

In which sector do you work?

Business/Corporate

Education

Entrepreneur

Government/Public Service

Health Care

Labor

Legal

Nonprofit

Volunteer

Other

Describe your current major job responsibilities.

Number of years with current employer.

Please list your previous employment.

I. Dates - To/From

I. Title/Position

I. Employer

I. Major Responsibilities

II. Dates - To/From

II. Title/Position

II. Employer

II. Major Responsibilities

III. Dates - To/From

III. Title/Position

III. Employer

III. Major Responsibilities

In terms of your career, where do you hope to be in five years?

Education

Degrees/Certifications

Personal Perspective

What specific skills, knowledge or experience would you bring to this class of Women in Leadership?

What personal or professional outcomes are you hoping to achieve through participation?

How would you use your Women in Leadership experience in your community and profession?*

Community/Civic Involvement

Please list no more than 5 civic organizations that you are or have been a part of, including dates.*

What do you consider to be your highest level of responsibility or greatest achievement to date?

Which of these do you consider to be your single greatest service to the community? Why?

State your personal & professional goals.*

What do you think is the most challenging barrier for women in your current career field?*

What do you think is the most challenging issue facing our region? What could you do to contribute to its solution/resolution?

How did you hear about Women in Leadership?

Subscribe

Yes, I'd like to receive emails about upcoming FOCUS events, civic engagement opportunities and programs.

Before hitting Submit, please review the following requirements and check that you agree to each of them.*

My employer supports my participation in the WIL program and all program days.

I am willing and able to make the commitment to attend all program days.

I am aware that my absenteeism will result in my being dropped from the program.

I understand that all program fees are non-refundable.

“The Coro Women In Leadership program was truly an invaluable experience – provoking deep thought, challenging assumptions and opening the door to opportunities.”

Stephanie Bass

Workplace Strategist/Designer
Coro Women In Leadership Fall 2016

Leadership For a Thriving Region

Leadership For
a Thriving Region

FOCUS St. Louis is a registered 501(c) 3 nonprofit organization.
© 2023 FOCUS St. Louis®

815 Olive Street, #110 • St. Louis, MO 63101

phone: (314) 622-1250

email: info@focus-stl.org

© 2017 FOCUS St. Louis®

815 Olive Street, #110

St. Louis, MO 63101

phone: 314.622.1250

email: focus-stl.org

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