Leadership Pittsburgh

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Personal Information

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Personal Information Continued

Personal contact information is optional and will be used only with your permission and/or if needed in a situation that requires us to access you.

The LPInc. Selection Committee strives to curate a diverse cohort based upon our applicant pool and information received. The following demographical information is not required.

Employer Agreement

As most sessions are held during normal business hours, the support of your employer/organization is imperative. The applicant is expected to ascertain this support and completion of this section indicates the applicant has done so. The head of your business/organization may be contacted.

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Your Leadership Pittsburgh Referrer (if different from your Supervisor/Head of Sponsoring Organization)

Please list the individual within your network (organization/professional/personal) who has been the most influential in your decision to apply to the Leadership Pittsburgh program. In the event of your acceptance into the program, this individual, along with the person listed in the Employer Agreement section above, will be extended an invitation to join you for a reception – generally towards the start of the program year, as well as at program completion.

Professional/Educational Background

Please include the following information (you may attach your resume).

List past and present employment highlights including employer, job title, a brief job description, and dates of employment. Note: Should your employment status change after you have submitted your application, please call the LPInc. office at 412.392.4505 and email info@lpinc.org so that this information can be presented to the Leadership Pittsburgh Selection Committee.

List educational background, including active military duty, and academic awards. Include school(s), dates, and degrees awarded.

List, in order of importance to you, the professional activities (employer-based or professional organizations) in which you have participated. For each activity, state the nature of your participation, including leadership positions held, special recognition received, and the date(s) of your involvement.

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Community Involvement

List community activities in which you have participated. These may include activities related to or as an outgrowth of your employer-based profession or organization. List current and past activities separately. For each activity, indicate the nature of your participation, including any leadership positions you held, any special awards/recognition that you received, and the dates of your involvement.

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References

Please list the contact information of two individuals who can attest to your leadership capabilities. These can be, but are not required to be, the same individuals you have asked to provide a letter of recommendation.

Acknowledgment of Program Schedule

The tentative schedule for the upcoming program year can be found on our website. Prior to submitting your application, please review this schedule and ensure that you are currently able to attend the two mandatory sessions at the start of the program year (Welcome Orientation & Reception and Opening Retreat) as well as the majority of the sessions listed on the schedule so that you can earn the required amount of credits to graduate. Please initial in the box below to indicate that 1) you have reviewed the schedule to ensure you can actively participate in the LP program (including the mandatory dates) and 2) if your availability changes at any time, you agree to make the LPInc. team aware and understand that this may impact your ability to continue participation in the program.