Leadership Fond du Lac County

Instructions: Complete each section fully. Please attach a current resume and include any pertinent community involvement, either in the resume or on a separate sheet. Application must be signed by applicant and employer, then returned to Envision Greater Fond du Lac by June 30, 2026.

Please note: To be considered for this program, applicants must work or live in Fond du Lac County.

Tuition: $1,750 for Envision Greater Fond du Lac members; $2,000 general admission.

Fields marked with an * are required.

Personal Information

First Name *

Last Name *

Birthdate *

Preferred name on completion certificate

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Phone *

Email *

Employment Information

Employer *

Employer Address *

Employer Mailing Address (if different)

Position/Title *

Supervisor *

Supervisor Title *

Supervisor's email *

Interview

Why do you want to be a part of Leadership Fond du Lac County? *

How did you hear about the program? *

What are you involved in outside of work? (Ex: Specific volunteer opportunities, boards, nonprofits) *

Please verify that you have checked the “I'm not a robot” checkbox.