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Leadership Wichita Nomination Form

Thank you for submitting a nomination for our 2017 Leadership Wichita class! You may nominate up to two individuals for consideration. Please fill out the form below to complete your nomination.

After hitting "Send," you should see a confirmation message on this page. If you do not see that, or have questions about your nominations, please contact Gabri Samia at

Leadership Wichita Alumni Database
Wondering whether someone has already completed Leadership Wichita? Click here to search the directory of graduates.

Nominee #1
Nominee #2
Nominated By
Please complete all required fields. Sending

Thank you for your nomination(s)! We encourage you to let your nominee(s) know that you’ve nominated them and offer any advice you may have about completing the application process. All nominees will be notified of their nomination no later than June 5 and will have until June 14 to complete their application.

There was a problem sending your information. Please try again later or contact us by phone.

350 W Douglas Ave
Wichita, KS 67202
316.265.7771 |