Resch Strategies Leadership Lansing Scholarship

Application/Nomination Form

Name of Applicant/Nominee

First Name

Last Name

Employer

Job Title

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer Phone Number

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Employer Contact Email Address

Describe the mission and work of the organization.

Describe the role of the applicant/nominee in completing the work described above.

Why would the applicant/nominee be perfect for the Leadership Lansing program?

How do you see the applicant/nominee’s participation in Leadership Lansing helping the organization where they work?

How do you see the applicant/nominee’s participation in Leadership Lansing benefiting the Greater Lansing region?

What more should we know about this applicant or the place where they work?

If you are nominating someone, a phone number where you can be reached.

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Please submit applications by Aug. 20, 2019

^{By submitting an application, applicant authorizes Resch Strategies to investigate all sources of information provided by applicant. The materials and information contained herein are intended to provide general information and guidance on the subject concerned and are for illustrative and information purposes only. Resch Strategies retains the sole discretion and right to select the scholarship nominee and further makes no warranty or guarantee that any specific applicant will be selected. Resch Strategies takes no responsibility for any loss incurred by individuals due to the submission of a scholarship application and all applicants hereby indemnify, release and hold harmless resch strategies on any causes of action arising from the application process or award of scholarship; including foreseen or unforeseen events. Funds awarded are to be used only for the purposes described herein.}