LEAD THE LEADERS APPLICATION FORM

To ensure a good fit, we require you to submit the application form below for consideration for the Lead the Leaders Certification Program. Completion of this application does not guarantee enrollment but is used to identify qualified candidates.

Please copy the content and questions of this page and insert it into a Microsoft word processing document. Answer all the questions completely and return it to us by attaching the document via an email to jeff@jeffjanssen.com

You may attach your resume and letters of endorsement and recommendation this way as well.

APPLICANT'S INFORMATION:

Your Name:

Position/Title:

Email address:

Phone number:

Mailing address:

SCHOOL/ORGANIZATION INFO WHO WILL SPONSOR THE ACADEMY:

School/Organization Name:

School/Organization Website:

Mailing address:

Number of total student-athletes/members in the school/organization:

Number of anticipated members in the Leadership Academy:

APPLICANT'S BACKGROUND AND EXPERIENCE

Your Years of Experience as a Coach/Administrator:

Please email us a complete resume detailing your professional experiences:

Why are you an ideal candidate for this program?

Please provide three detailed reference letters from colleagues regarding your coaching ability, ability to relate to student-athletes, and your teaching ability:

Please list any relevant degrees, coursework, training, and/or reading you have done in leadership, sports administration, sports psychology, coaching, etc.:

Please send us a video of you doing a workshop for a student-athlete audience. If you do not have any video of past presentations, please create a 15-20 minute video of you presenting your best material as if you were speaking to a student-athlete audience. (Please send the video to us at 6841 Piershill Lane, Cary, NC 27519)

Please provide a letter from the school's Athletic Director regarding his/her support of the Leadership Academy and an endorsement of your facilitation, organization skills, and ability to effectively lead the Academy:

FUNDING THE ACADEMY

Please describe the source and how you will fund your Academy for at least the next three years.

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