2026 LEAD Application

2026 LEAD Institute Application

Leadership Medina County’s LEAD Institute program is designed for those looking for professional development training and to further develop their leadership skills to become more effective leaders in their communities and workplaces. See webpage for a full program description at https://leadershipmedinacounty.org/lead/.

The program runs from September – May mainly on the 3rd Thursday* of each month (with a few noted exceptions) from 8:30 a.m. to 5:00 p.m. and includes lunch. Class size is limited to 35 individuals. Tuition is $3,500 and includes all food and beverages, class materials, texts, and assessments. Certificates will be issued to each participant upon completion of the program.

Participants in Leadership Medina County’s LEAD Institute program will be selected from those individuals who have submitted their applications by the deadline.

Please note: Invoices for the $3,500 non-refundable tuition will be issued with notification of acceptance. DO NOT send payment with application.

Participation

In order to accomplish the program’s stated objectives, attendance and full participation of each individual selected is necessary. Participants must be able to commit to the full class schedule below and class project. However, we realize that “life happens” sometimes. Therefore, we do allow for ONE excused absence per class year. More than one absence could disqualify a program participant from graduating from the program. Opening and Closing Retreats are mandatory.

Timeline

March 1: Apply online
June 1: Application deadline
July 1: Class is selected, and applicants are notified
Later in July: Tuition assistance is granted
August 1: Tuition Due
September 13: Class is formally announced

Click here for the Class Calendar

This program includes a class project. The project will be selected on September 5th on the second day of the Opening Retreat.

Click here to download and complete a mandatory Employer Agreement form. Once filled out, please email it to Terri Greene, terri@leadershipmedinacounty.org.

Application

Please note, this application may time out after 40 minutes of inactivty. We suggest saving your work reguarly.

First Name *

Last Name *

Name as it should appear on name badge *

Name as it should appear on certificate *

Preferred Name *

Business Information

Company Name *

Title *

Business Email *

Business Phone *

Business Address 1 *

Business Address 2

Business City *

Business State/Province *

Business Zip *

Supervisor Acknowledgment

Please provide the following contact information for your supervisor. If you are self-employed and/or paying for The LEAD Institute on your own, please write “self” in the fields and enter your own email.

Supervisor's Name *

Supervisor's Title *

Supervisor's Email *

Supervisor's Phone Number *

Personal Information

Cell phone *

Personal Email *

Home Address (Line 1) *

Home Address (Line 2)

Home City *

Home State *

Home Zip Code *

Do you have a LinkedIn profile? If so, share the link. If you don't have a profile, please write no. *

Education

Name and City of High School *

Name and City of College

College Graduation Year/Degree and Major

Name and City of College (2)

College Graduation Year/Degree and Major (2)

Military Service

Please include what branch of the military.

Interests

Select from the following interests. You may select more than one.

Interests *

How did you hear about The LEAD Institute? *

Community Involvement

Community Organization 1 Name

Please share community initiatives, board service, leadership roles, volunteer service, organization involvement. It is encouraged that you do not include recreational activities.

Volunteer role/position held:

Volunteer start date:

Volunteer end date:

What have you accomplished with this activity that you think is important?

Community Organization 2 Name

(2) Please share community initiatives, board service, leadership roles, volunteer service, organization involvement. It is encouraged that you do not include recreational activities.

Volunteer role/position held (2):

(2) Volunteer start date:

(2) Volunteer end date:

(2) What have you accomplished with this activity that you think is important?

Community Organization 3 Name

(3) Please share community initiatives, board service, leadership roles, volunteer service, organization involvement. It is encouraged that you do not include recreational activities.

Volunteer role/position held (3):

(3) Volunteer start date:

(3) Volunteer end date:

(3) What have you accomplished with this activity that you think is important?

Tuition

Tuition is $3,500 per participant.

How will your tuition be paid? Select all that apply *

Employer

Self

I am requesting Tuition Assistance

If you requested tuition assistance, please provide the reason for requesting assistance and the amount requested.

Refund Policy

Click here to read the refund policy.

I have read and understand the refund policy. *

Yes

Time Commitment

Are you able to fully commit to the noted class days? *

Do you have full support from your employer/family for the time required to participate effectively in this program? *

Commitment

I understand the purpose of this program and that completion of this application does not ensure a candidate’s acceptance into the class. If selected, I will devote the time required to fulfill all obligations to the program and Policies and Commitments. By entering my name in the box, I am approving this as an authorized signature for my application.

Type your name to agree *

Thank you for completing part one of your application! Upon submission, you will receive an email from terri@leadershipmedinacounty.org to complete Part #2 of the application which will be due within one week of submission of Part 1. Applicants will be notified of their acceptance on or around July 1. Non-refundable payment is due by August 1st.

Data Privacy & Consent

Email

Phone

Mail

SMS/MMS