Nomination Form

Greater Des Moines Leadership Alumni:

Thank you for your interest in continuing the success of the Greater Des Moines Leadership Institute’s Community Leadership Program!

Please complete the following nomination form. All fields must be accurately completed in order for your candidate to be considered. Nomination deadline is midnight, April 30, 2008.

Nominator Information (Must be a GDMLI Alumni)
Name:
Organization/Business:
Business Phone:
Email:
GDMLI Class Year:

Nominee Information
Name:
Organization/Business:
Address:
City:
State:
Zip:
Business Phone:
Email:

Nominee Information
Name:
Organization/Business:
Address:
City:
State:
Zip:
Business Phone:
Email:

Nominee Information
Name:
Organization/Business:
Address:
City:
State:
Zip:
Business Phone:
Email:

Nominee Information
Name:
Organization/Business:
Address:
City:
State:
Zip:
Business Phone:
Email:


Please Note:
Nominations must be made by GDMLI Alumni. If you are an interested applicant, please contact a GDMLI Alum to request a nomination and direct them to this page. Once you have been nominated by an alum, you will receive information from the GDMLI office asking you to apply for the program.

Applications without prior nomination will not be considered.
For a complete alumni listing, please CLICK HERE for our directory.


GREATER DES MOINES LEADERSHIP INSTITUTE

700 LOCUST STREET SUITE 100

DES MOINES, IOWA 50309

515-286-4980