Application to Become an LWV Ohio MLD Program Coach
2015-2017 LWVO Membership and Leadership Development Program (MLD)
Join an outstanding team of League members from across the state and help local Ohio Leagues move
to a higher level of excellence!
Imagine if you joined an outstanding League team that. . .
 Helps Leagues grow in membership and funding.
 Helps Leagues with support, ideas and guidance.
 Helps League leaders with training and mentoring before they lead.
 Helps Leagues’ voice become as strong and powerful as possible!
You can!! Join the LWVO MLD Coaching Team!
Application: LWV Ohio MLD Coach
Please complete the form below to indicate your interest in becoming a State Coach of the MLD
program in Ohio. To be considered for a coaching position, you must be a League member and agree
to participate in the activities outlined on page 2. The DEADLINE to submit this form for
consideration for a 2015-2017 position is March 27, 2015. Questions? Please contact Meg Flack,
MLD Coordinator for LWVO, at 614.235.5993 or megflack150@gmail.com .
1. I am interested in being an MLD Coach in Ohio.
Name_____________________________________Email address:_____________________________
Address____________________________________________________________________________
Local League_______________________________________________________________________
2. Background Information and Experience (Use as much space as needed.)
A) What would you consider to be your most significant League responsibilities and /or leadership
positions (up to 3 positions / responsibilities)?
B) Please explain why you are interested in becoming an MLD coach or mentor to one or two
local Ohio Leagues.
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C) Please explain what background experience you have that prepares you for a coaching role
(including experiences outside the League).
3. Strengths and Qualities: Please check the top 4 qualities that you consider to be your special
strengths from the list below.
_______Enthusiasm for the League
________Strong listening skills
_______Enjoys people
________Effective verbal communication skills
_______Patient
________Observant
_______Respectful and supportive
________Takes initiative
_______Empathetic
________Follows through
_______Uses positive reinforcement
________Flexibility and openness to change
_______Critical thinking skills
________Enjoys challenges
_______Creativity
________Can identify opportunities + give suggestions
I understand that as a coach, I agree to:
o Attend MLD Coaches’ annual training, to next be held April 17-18, 2015, in Columbus, OH.
Note: LWV Ohio will pay for the materials, hotel (two people per room) and meal expenses
associated with the coaches’ training.
o Communicate monthly with the MLD Teams of my assigned local Leagues to help them develop
and successfully implement an MLD program specifically designed for their League.
o Participate in a monthly phone call (45-60 minutes) with Ohio’s Shur Fellow (LWVUS liaison to
the MLD program) and the Ohio MLD Coaching Team.
o Participate in a brief on-line survey each month from LWVUS.
o Regularly communicate with the Ohio MLD Coordinator concerning the progress of my assigned
local League(s).
All applications should be returned to LWV of Ohio’s state coordinator:
 Email – Meg Flack: megflack150@gmail.com or
 Mail – to Meg Flack, 150 E. Main St., # 609, Columbus, OH 43215
APPLICATIONS MUST BE RECEIVED by March 27, 2015
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