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ALF Nomination Form for
Fellows Program

PLEASE NOTE:

If you discuss this nomination with the nominee, please make sure they understand there is no guarantee that they will be selected.  With over 300 nominees, less than 10% will receive an invitation to be one of the 24-27 participants in the program.  Nominations are kept on file for three years.

Questions marked with an asterisk (*) are mandatory.

 
* Your name
 
* Name of nominee
* Title
* Company/organization
Address
Telephone
Email
 
Have you spoken with this nominee about the ALF program and tuition costs ($12,500, some scholarship assistance is available) and, if so, do you feel confident the nominee would likely accept an invitation if offered?
 
* How is this person a proven leader committed to the public good, display personal integrity, and work collaboratively? What skills and/or passions would this person bring to the ALF network?
 
* Diversity
 African American  American Indian
 Asian/Pacific Islander  Caucasian
 Latino/a  Middle Eastern
 Gay/Lesbian/Bisexual/Transgendered (GLBT)  Other
 
 
* Gender
 Male  Female
 
 
* Professional Field (choose all that apply)
 Agri-Business
 Arts
 Association
 Community Activist or Representative
 Corporate
 Education
 Elected Official
 Environment
 Faith
 Government
 Health
 Labor
 Public Safety
 Law/Professions
 Media
 Nonprofit
 Philanthropy
 Small Business
 
* County where nominee does majority of community work
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