Teri Hansen InsPiRe Scholarship for LeadershipFPRA

Please use the form below to submit your request to receive a Teri Hansen insPiRe Scholarship to participate in LeadershipFPRA Class X. The deadline to apply is Friday, June 13, 2025.

Note: All form fields mirror the state application to streamline the process.

Resume Upload*

Please attach an updated copy of your resume.

LinkedIn URL*

Headshot Upload*

Please attach a high-res color professional headshot suitable for use in publications and publicity.

To facilitate the application process, please answer every question.

PART 1: PERSONAL DATA

Full Name*

First

Last

First name or nickname preferred

Company Name

Title

Ethnicity*

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

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

Yes

No

Unsure

(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).

BUSINESS AND COMMUNITY INVOLVEMENT

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

How have you improved your community through volunteer activities?*

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

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.

Name*

First Name

Last Name

Title

Email

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*

Name

Title

Company Name

Email

Are you human?*

To use reCAPTCHA you must enter the API keys on the Quform settings page.

Your Website*

To facilitate the application process, please answer every question.

PART 1: PERSONAL DATA

EDUCATION

BUSINESS AND COMMUNITY INVOLVEMENT

FPRA AND LEADERSHIP PERSPECTIVE

PART II: REFERENCES

PART III: MISCELLANEOUS

PART IV: COMMITMENT