2026 Leadership Impact Award Application

First Name*

Last Name*

Email*

Mobile Phone*

Position | Job Title*

Company or Agency Name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Years of Mobility Experience*

Are You an Active BFN Member?*

Leadership Narrative (750-words max)*

Résumé or Bio (Doc or Vid)*

Two Letters of Recommendation*

Description of Last 3 Years of Measurable Leadership Outcomes or Accomplishments *

Personal or Team Pic (Up to 3, Hi-Res)*

2592 S. HAIRSTON RD, STE 116

DECATUR, GA 30035

events@blackfleetnetwork.org

Presented by

Black Fleet Network® is the national 501(c)(3) nonprofit organization creating new channels of opportunity for Black professionals across fleet, transportation, and mobility. Through education, leadership development, and strategic community-building, we equip leaders to grow their impact and help shape the future of the industry.

Your sponsorship of Ascension LDX supports this mission while helping create a transformative leadership experience designed to resources and empower those entrusted with leading others. Contributions and sponsorship investments may be tax-deductible to the fullest extent permitted by law.

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