Title

Bloomington Leadership Program Application

Sections

Space is limited. A selection committee will review and select participants. Be sure to provide enough information for the selection committee to learn about you.

You must be logged in to view this page.
  • Current Page 1
  • Page 2
  • Page 3
  • Page 4
  • Complete
Contact info
Name
Contact information
Are you a Bloomington resident?
Are you 18 years of age or older?

The data supplied on this form will be used to process your application for the Bloomington Leadership Program. Per Minnesota Statutes, some of the requested data may be private. It is available to you, as well as the City of Bloomington staff and volunteers who need this information to perform their duties. Private data is not available to the public. Data may be shared as required by law. You are not legally required to provide this data, but without it the City of Bloomington staff may not be able to select you to participate in the program, and/or you may not receive updated information. The data is needed to distinguish the application from others.

The City of Bloomington does not discriminate on the basis of a person’s protected class status in the admission or access to, or treatment or employment in, its services, programs, or activities. Upon request, accommodation will be provided to allow individuals with disabilities to participate in all City of Bloomington services, programs, and activities. If you have questions, please contact Communications and Engagement at outreach@BloomingtonMN.gov or 952-563-8733 | MN Relay 711.

The program is offered in English. If you’d like to request a language accommodation, please contact Communications and Engagement at outreach@BloomingtonMN.gov or 952-563-8733 | MN Relay 711.

Contact Information

Contact Information

Communications and Engagement