Leadership and Service Academy · Keith Coleman Museum

ACADEMY ENROLLMENT

A first step toward
purposeful leadership.

10–15 minutes

Applications are open.

Complete the form below. After you review your answers, your application will be sent to the museum.

Fields marked * are required. Please complete every required field before submitting.

Applicant information.

Tell us a little about yourself.

Full name * Email address * Phone number * Date of birth * Home address *

City *State *ZIP code *

School / organization *Current grade / year *Parent / guardian name *

Emergency contact.

Someone we can reach if needed.

Name *Relationship *Phone number *

Choose your academy track.

Select the track that best fits you.

Please select one track *

Junior LeadersMiddle and high school students.Emerging LeadersCollege students and young adults.Community Leadership FellowsEducators, veterans, and professionals.

Your leadership interests.

Select all areas you are interested in developing.

Areas of interest *

Leadership & decision-makingCommunication & public speakingTeamwork & conflict resolutionCommunity service & civic engagementCharacter & personal developmentMentorship & career development

Other

Leadership through service.

We would love to hear your perspective.

Leadership and service experience *Include leadership, school, athletic, work, volunteer, mentoring, or community service experience.Why do you want to join the Academy? *In 3–5 sentences, tell us what leadership through service means to you and what you hope to gain.

A shared commitment.

Leadership is service in action.

By submitting this application, I acknowledge:

Participation in the Academy requires commitment, professionalism, and active participation.
I agree to uphold the museum’s values of leadership, service, character, and community engagement.
I understand that Academy participants represent the museum and are expected to maintain respectful conduct.
I agree to attend required Academy sessions, activities, and service-learning experiences.

I have read and agree to these commitments. *

Applicant signature *Date *

Your application will be sent securely to the museum.