Leadership Iowa Nomination

INSTRUCTIONS: To be considered for the class, participants must be nominated and complete an application form. Nominations are accepted year-round, but must be received by May 1st to be eligible for the next year's class. Self nominations are encouraged. Program applications on-line from May 1st to June 9th and must be finished by June 9th. A selection committee, comprised of Leadership Iowa alumni and ABI representatives will review, rate and select the individuals for the next class year. Individuals are notified of their acceptance in early August.

Complete the following form and submit for processing.
If you have questions, please contact Kay Neumann-Thomas
at 515-235-0564.

Nominee Information
Name:
Position or Title:
Firm or Organization:
Address:
City:
State:
Zip:
Phone:
Email:
Nominator Information
Nominator Name:
Position or Title:
Firm or Organization:
Address:
City:
State:
Zip:
Phone:
Email: