Virginia Rural Leadership Institute 2025 – Referral Form Please use the space below to refer 3 individuals to apply for the 2025 Cohort of the Virginia Rural Leadership Institute. VRLI staff will contact these individuals to provide more information about next year’s cohort and encourage them to apply. If you would like to refer more than 3 individuals, please feel free to forward them by email to varuralleadership@cfrv.org. Question Title * 1. Your Name: Question Title * 2. Individual 1 Name Position Title/Area of Work Organization Email Phone Number Question Title * 3. Individual 2 Name Position Title/Area of Work Organization Email Phone Number Question Title * 4. Individual 3 Name Position Title/Area of Work Organization Email Phone Number Done