POWER OF 10 LEADERSHIP ACADEMYParticipant Application FormName:Business Name:Mailing Address:Daytime Phone: Cell Phone:Email:School & Year of Graduation:

Statement of Participation:Briefly express why you’re interested in participating in the P10 Leadership Academy.

Enrollment is limited to 10 KVMA members per year. Participants will receive full tuition scholarships – PLUS complimentary registration to KVMA Convention, where P10 graduates will be recognized. Attendance at all events is expected and very important for your educational experience throughout the program. Every effort should be made to attend all events.

KVMA will provide coaches and the curriculum team, food for gatherings, and will cover one nights lodging for overnight meetings. Sessions will typically begin at 10am and conclude by 4pm. With exception of the overnight session, participants are responsible for their own lodging if needed. Participants are also responsible for transportation to all learning experiences. The program will begin October 2019 and conclude November 2020.

Please send completed application and any letters of recommendationto the KVMA office by September 13, 2019.KVMA | PO Box 77 | Lyndon, KS 66451 | megan@ksvma.org