Kentucky Education Associates
 401 Capital Avenue   |   Frankfort, KY 40601   |   800.231.4532   |   502.875.2889
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Fellows Program Application

Name:
Address:
City:
State:
Zip:
Phone:
Email:
 
School District:
Position:
Ethnicity: (optional)
 
Have you ever attended a national level conference of any kind?:
Yes
No
If so, what conference was it?:
 
How long have you been involved in public education?:
In what capacity?:
 
Are you involved in your local KEA education association or support professional association?:
Yes
No
If so, do you hold a leadership position?:
 
Do you belong to any other professional organizations?:
Yes
No
If so, which one(s)?:
 
What do you believe is the single largest challenge to public education today?:
 
What 3 qualities do you believe make a good leader?:



 
What 3 qualities do you possess that will assist you in association work?:



 
What is your vision for the future of KEA?
 
Why are you a member of KEA? Tell your story!
 
In 250 words or less, why do you want to become part of the KEA Fellows Mentoring Program?