Full Name *

• First:
• Middle:
• Last:

Cell Phone Number *

Email *

Present Employer *

Position/Title *

Business Address *

• Street Address:
• City:
• State:
• Zip:

Manager Information *

• Manager Name:
• Manager Phone Number:
• Manager Email:

List Activities *

1. List major civic, business, and professional activities in which you have participated during the past two years.
2. List offices you have held in each.

How can the program help you? *

Fulfill your role as a leader *

How do you feel the Leadership Tomorrow Program can help you fulfill your role as a leader in the Danville and Vermilion County area?

Are you looking for scholarship opportunities? *

Yes

No

Financial Assistance *

How much financial assistance are you requesting for the Leadership Tomorrow program?

Will your employer be contributing to the program fee? *

Yes

No

Explain financial need and benefit *

Please provide a short paragraph explaining the financial need and how participation in the program will be of benefit to you.

Community Priorities *

Please rank the community issues in order of your preference (1 + highest priority):

1.  Community Perception
2.  Mental Health
3. Workforce Development

T-shirt size *

Unisex, Adult sizes

Small

Medium

Large

X-Large

2X-Large

3X-Large

4X-Large

Dietary Restriction *

If you have an allergy or dietary restriction, please let us know here.

By submitting this application, the applicant and sponsor acknowledge and agree to the following: *

Participation in the Leadership Tomorrow program requires the support and commitment of both the applicant and their employer or sponsoring organization.

Please read the Participation Agreement below before submitting the application.

https://www.vermilionadvantage.com/wp-content/uploads/2026/01/Leadership-Tomorrow-Participation-Agreement.pdf

Type your name if you agree to the requirements.

Danville Correctional Center Background Check Authorization *

As part of the Leadership Tomorrow program, participants tour the Danville Correctional Center. Entry to the facility requires a background check.

By providing the information below, you authorize Leadership Tomorrow to submit your information for the purpose of completing this required background check and acknowledge that clearance is required for entry.

Please provide the following:

1.  Date of Birth
2.  Sex (at birth)
3.  Race
4. Social Security Number