Signature Program Application Preview
This is a preview of the information and questions asked on the Signature Program Application.
In addition to the online application, you will need to have a letter of recommendation from someone at your organization, or a local leader or volunteer colleague. Letter of recommendation guidelines can be downloaded HERE
General & Contact Info
Preferred First Name
City State Zip Code
School District of Residence
Home Phone Number
Please indicate your gender:
Please indicate your race:
Have you previously applied to Leadership Stark County’s Signature Program?
How many years have you lived in Stark County?
Beginning with high school, please complete the table. Include graduate and specialized training.
List your current community involvement and how you are involved.
What do you consider your most important accomplishment in one of your community activities?
If you have not had the time or interest to become actively involved in the community, what factors have changed that now enable you to seek involvement?
What makes Stark County unique, and why?
In the future, what role do you envision playing in Stark County and in your career?
Why do you want to participate in Leadership Stark County Signature Program?
Please upload a recent photo (head shot) of yourself. It can be a “selfie” or a professional photo. This will only be used to help the committee remember the applicants’ names and faces.
Tuition Assistance (if applicable)
Do you want to apply for tuition assistance?
What type of organization do you represent?
Please include any special circumstances or information you would like the committee to consider when reviewing your request for a scholarship:
Please state the amount of tuition assistance you are requesting:
Have you been convicted of a Felony within the last 5 years?
If so, please explain:
I certify that the above application and financial information is true. I have the time and desire to participate in the program and have my employer’s full support (if applicable) to participate.