Right Track Leadership Academy Application

Please complete each section fully. The 2023 application is due January 15, 2023.

Full Name*
Name
Nickname or First Name (preferred)
Date*
MM slash DD slash YYYY
Home Address*
Street Address City ZIP Code
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Preferred Phone*
Cell Phone (if different than preferred)
Year Licensed*
Length of Residence in Kansas*
Real Estate Specialties*
Residential, Commercial, Ag Land, etc.
Real Estate Designations Earned
Upload your professional photo
Accepted file types: gif, jpg, png, pdf, Max. file size: 3 MB.

Work Experience
Present Firm Name*
Title or Responsibilty*
Since (month/year)*
What do you consider your highest career achievement to date?*
Business/Professional Affiliations (Name of Group, Position(s) Held or Assignments, Period of Affiliation)
Please include local board of REALTORS® and/or Kansas Association of REALTORS® (KAR) involvement. Do not include civic organizations, public offices, or political activities.
Community Involvement
Include community, civic, religious, political, governmental, social, athletic, and other activities. Do not include business/professional activities. Indicate major role in the organization currently.
What do you consider your most important accomplishment in one of the above organizations? Why?

Leadership Goals
What are your leadership goals within your community, civic organizations, and other opportunities? Why are you interested in The Right Track?*
Committment
I agree*
- I understand that attendance of all Right Track sessions is a requirement of graduation from the program.
Tuition
Applicants will be notified of their acceptance status by January 20, 2023. The tuition payment of $395 is due by January 31, 2023. (The tuition fee covers all programming, most meals, and all materials for the retreats, as well as registration for the 2023 KAR Annual Conference.) NOT included: hotel room costs and travel costs.
Your PROMISE*
- I certify that the information presented on this application is true, and I understand that if my application is approved for The Right Track Leadership Academy, I am committed to paying a $395 tuition fee, improving my leadership skills, completing a group project, and attending the retreats.
Signature*
Please type your FULL NAME, this will count as your legal signature on this document.
Date*
MM slash DD slash YYYY
Broker/Supervisor Name*
Your Broker/Supervisor*
- This application has been discussed and has the approval of my Broker/Supervisor and I have their full support, which includes the time required to participate in the program.

High School