College of Public Health students graduating
Kentucky and Appalachia Public Health Training Center

Kentucky Public Health Leadership Institute

Use this form to apply for the Kentucky Public Health Leadership Institute. Complete all items on the form and submit electronically by clicking the "Submit" button at the bottom of the page. Please answer each question completely. Incomplete applications will disqualify the applicant.

KPHLI will begin accepting applications June 1, 2014 The application deadline is July 31, 2014.

Thanks for taking the time to apply! Contact Erin Louis if you have any questions, 859-218-2061.

You should receive a confirmation that the application was successfully submitted.

Section I
Section II
Please submit a personal statement of less that 200 words describing what you hope to gain through participation in the Kentucky Public Health Leadership Institute. Include a discussion of benefits you anticipate for your community, your agency, and yourself as well as how the leadership development program will lead to greater effectiveness in helping your agency to carry out the core public health functions of needs assessment, assurance,a nd policy development. Please type your statement in the space below:
Section III
Management Support
In the space below, please provide the name, address, phone number, and fax for your immediate supervisor.
Letter of Support / Recommendation
Please fax or email a letter of support and recommendation from your manager / supervisor / chairperson.