NOMINATE AN APPLICANT

If you have encountered someone in your career, volunteer service, or neighborhood who is a leader and would be interested in the Core Program, use the form below to nominate an individual to apply.  LRI staff will follow up with nominees to offer them information, answer questions, and invite them to recruitment events throughout the year.

Some information will not be captured in the form.  To provide more information, ask a question, or clarify anything, please click here to email us.

When thinking about possible candidates for Leadership Rhode Island, keep in mind this list of qualities we seek in successful applicants:

• A passion for the people and future of our state coupled with a personal commitment to help shape that future.
• A demonstrated commitment to the community through past and present activities.
• A demonstrated capacity for leadership within their own organizations through significant achievements.
• At least one year residence in Rhode Island or with current employer in Rhode Island.
• A desire to enhance their leadership capabilities.
• A willingness to commit the time and energy necessary to complete the program requirements and full support of their employer to commit the time needed.
• A commitment to supporting continuation of leadership and trustee development for our state.

Leadership Rhode Island also seeks a class that is reflective of the cultural diversity of Rhode Island, and we seek a variety of viewpoints, industries and sectors, age and experiences, and representation from every region of the state.

Nominator Information
Date
*First name
*Last name
Your LRI Year		---Select--- 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
* Preferred contact method		Phone Email Mail
* Contact information
Nominee Information
* First name
* Last name
Employer
Job Title
Address
Suite/Floor
City		---Select--- ALBION ASHAWAY ATTLEBORO BARRINGTON BRADFORD BRISTOL BROAD BROOK BURRILLVILLE CENTRAL FALLS CHARLESTOWN CHEPACHET CHESHIRE COVENTRY CRANSTON CUMBERLAND E GRANBY E GREENWICH E HARTLAND E PROVIDENCE E WINDSOR ENFIELD ESMOND EXETER FALL RIVER FISKEVILLE FOSTER GLASTONBURY GLENDALE GLOCESTER GRANBY GREENVILLE HARMONY HARRISVILLE HOLLAND HOPE HOPE VALLEY HOPKINTON JAMESTOWN JOHNSTON KINGSTON LINCOLN LITTLE COMPTON MANCHESTER MANVILLE MAPLEVILLE MERIDEN MIDDLETOWN MILLDALE N GRANBY N KINGSTOWN N PROVIDENCE N SCITUATE N SMITHFIELD NARRAGANSETT NEWINGTON NEWPORT None OAKLAND PASCOAG PAWTUCKET PEACEDALE PLANTSVILLE PORTSMOUTH PROVIDENCE RICHMOND RIVERSIDE ROCKVILLE ROCKY HILL RUMFORD S GLASTONBURY S KINGSTOWN S MERIDEN SAUNDERSTOWN SCITUATE SLATERSVILLE SMITHFIELD SOMERS SOUTH WINDSOR SOUTHINGTON STAFFORD STAFFORD SPRINGS SUFFIELD SWANSEA TIVERTON UNION VERNON W GRANBY W GREENWICH W KINGSTON W KINGSTOWN W SUFFIELD W WARWICK WAKEFIELD WARREN WARWICK WATCH HILL WEEKAPAUG WESTERLY WETHERSFIELD WICKFORD WINDSOR LOCKS WOOD RIVER JUNCTION WOONSOCKET WYOMING
State		---Select--- CT MA RI
Zip
Phone
Email
Nominee current and past leadership roles (limit 255 characters)
Nominee leadership qualities (limit 255 characters)