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Application: LSC Signature Program Fall 2025-2026
About the Application Process
In identifying quality candidates, we review each application carefully, looking for community involvement and leadership potential. You must complete and e-sign your application. The program cost is $3700. Limited scholarship support is available. For more information about Leadership Snohomish County or the Signature Program, please contact us at info@leadershipsc.org or call 425.521.7293. To be considered for the Fall 2025 Signature Program, applications must be submitted by September 1, 2025.
Contact Information
Name
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First Name
Last Name
Preferred Phone
Preferred Email
Verify Email
Personal Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Demographic Information
How do you identify your race/ethnicity?
African American/Black
African
Asian American
Pacific Islander
Hispanic/Latinx
Native American
Middle Eastern
European American/White
Multi-racial
Prefer not to answer
Other
Gender Identity
How do you identify your gender? (Select one or more)
Woman
Man
Agender
Gender Non-Conforming
Gender Fluid
Pangender
Non-Binary
Unsure or Questioning
Trans Man
Trans Woman
Prefer not to disclose
Other
Preferred pronouns
Please list your preferred pronouns
LSC Alumni Status
Have you completed any other LSC Program?
Young Professional
Leadership for Racial Equity
Not an LSC Alumni
Work/Employer Information
Organization/Employer
How long have you been employed with this organization?
Your Position/Title
Supervisor's Name and Title
CEO or Executive Director Name
Business Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to be considered for scholarship support?
Please be mindful that scholarships are limited and LSC cannot guarantee scholarships.
No, my employer will sponsor me.
No, I will be responsible for tuition.
Yes, for the LSC Tuition Support Fund
If you're seeking tuition assistance, please specify the amount you need and briefly describe your circumstances that warrant this support. We aim to understand your unique situation to provide the appropriate aid.
Tell us about your Experience
Describe your involvement in current or past civic or community activities.
For instance, include organization memberships, honors, or achievements.
Describe any additional history you’d like to share relative to leadership, mentoring, or other professional experience.
What do you hope to gain from your Leadership Snohomish County experience?
Commitment Agreement
In order to be considered for the program, you must commit to all of the following. If you have any known conflicts with the dates and/or scope of commitment, please contact Nelia Viloria at neliav@leadershipsc.org before submitting your application.
I agree to:
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Participate in a two-day retreat in September from 8:30 a.m. – 4 pm and a short evening reception following the first day of the retreat.
Attend monthly Education Days starting in October. I understand I must fully participate in the seven Education Days (8:30 a.m. to 4 p.m.), Step Up Virtual Conference, 8am - 5pm and Project Presentation day.
Participate in a professional impact project. I understand these projects are part of the leadership development program and are in addition to the Education Days.
I understand that as a part of exploring civic issues, the LSC program includes learning about race, racism, and racial equity in a group setting and I am willing to engage in this work.
By submitting this application, I confirm that I understand the requirements of the Signature Program and agree to fully participate in the program, if selected.
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First Name
Last Name
