LeadershipFPRA Application Form | Florida Public Relations Association

• Application must be submitted electronically to the FPRA State Office by June 23, 2025.

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• Applicants will be notified of the Selection Committee’s decision by mid-July 2025.

• Please keep in mind while the Selection Committee is evaluating individual applications, it is also building diversity – professionally and geographically – as well as age, race, gender and ethnicity.

• Tuition for LeadershipFPRA is $850. Program tuition includes meals and session/program-related costs.

PARTICIPATION REQUIREMENTS

Participants are required to attend the entire orientation and cannot not miss more than one session over the course of the program to graduate.

Tuition to be paid in full at the time of acceptance into the program.

APPLICATION INSTRUCTIONS

PART I: To facilitate the application process, please answer every question.

PERSONAL DATA

Full Name

First name or nickname preferred

Company Name

Title

Home Address:

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Home Phone

Cell Phone

Business Address:

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Business Phone

Email Address

How long have you been a member of FPRA?

LeadershipFPRA takes pride in choosing a class that is diverse in all areas. Please provide the following demographic information:

If other, please indicate

EDUCATION

Please list your educational and military (if applicable) achievements, including any significant awards, honors and dates attended

Do you have the support of your employer for the time necessary to participate in LeadershipFPRA?

Yes

No

(Participants will be committing to four 1+1/2 day sessions, a 1-day session aligned with FPRA’s CN Winter Symposium in January and a 1-day extension of the FPRA Annual Conference in August. Participants are expected to be registered for the FPRA Annual Conference (separate registration and lodging fees apply).

Are you able to make the financial commitment to participate in the LeadershipFPRA program?

Yes

No

BUSINESS AND COMMUNITY INVOLVEMENT

LeadershipFPRA places great emphasis on the time you commit to improving your community through volunteer activities.

In order of importance to you, list up to five volunteer, community, civic, professional, business, social, athletic, religious, or other organizations in which you are currently active or have been active in the past, and in which you have assumed a leadership role and explain why it is important. (250-word limit)

Please describe an issue that has impacted you personally, which illustrates your successful actions as a leader within your organization and / or community. (250-word limit)

If you are not actively involved, what conditions have changed that now enable you to seek involvement in your community? (250-word limit)

FPRA AND LEADERSHIP PERSPECTIVE

LeadershipFPRA places great emphasis on the time you commit to improving your community through volunteer activities.

FPRA AND LEADERSHIP PERSPECTIVE LeadershipFPRA places great emphasis on the time you commit to improving your community through volunteer activities.

What do you hope to gain from participating in LeadershipFPRA? (250-word limit)

Have you participated in a previous leadership program? Please list

What do you feel are the biggest challenges facing the Public Relations profession? (250-word limit)

How can FPRA help you with these challenges? (250-word limit)

Please list your Facebook, LinkedIn, Instagram and Twitter handles (if applicable)

Describe your unique blend of personality, skills, and life experiences that you would contribute to LeadershipFPRA

PART II: REFERENCES

• Please list contact information for two persons who can comment on what you bring to the LeadershipFPRA program.

Reference 1

Name

Title

Business Address:

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Email

Your connection with this person

Reference 2

Name

Title

Business Address:

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Email

Your connection with this person

PART III: MISCELLANEOUS

Do you have a disability or physical limitation where accommodations or assistance would be helpful?

Yes

No

If yes, please indicate

Special Diet Request - Vegetarian meals are only available if requested IN ADVANCE.

PART IV: COMMITMENT

By submitting this application, I understand LeadershipFPRA is much more than a six-session program and, if selected, I will be expected to continue as an active member of the association by sharing my time, talents, and resources to support LeadershipFPRA and FPRA.

I understand the purpose of the LeadershipFPRA program. If I am selected, I will devote the time and resources necessary to complete the program.

I understand the entire orientation is mandatory and even though emergencies do arise, any participant missing more than 80% of the sessions will be asked to withdraw from the program with no portion of the tuition refunded. I have the full support of my employer for the time required to participate. I agree to be bound by the above commitments by signing this application.

I agree to all statements above.

I have the approval of my supervisor to participate and attend all LeadershipFPRA events and activities.

First Name

Last Name

Title

Email

Name and Contact Information for Supervisor

If you are selected to be part of the LeadershipFPRA class, FPRA State Office will be notifying your supervisor. Provide his/her contact information below:

Name

Title

Company Name

Email

PART V: TUITION

The cost of the LeadershipFPRA program is $850 per participant (not including travel and lodging), payable upon acceptance to the program.

Will you be receiving a chapter scholarship?

Yes

No

Would you like to be considered for a scholarship?

Yes

No

Would not receiving a scholarship prevent you from participating in the program?

Yes

No

PART VI: CANCELLATION POLICY

• Prior to orientation, if you are replaced by one of the alternates, you will receive a full refund.

• Prior to orientation, but too late to be replaced by an alternate, you will receive a refund, less $100.

• After orientation, there will be no refund.

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