St. Cloud Area Leadership Program Application - St. Cloud Area Chamber of Commerce

St. Cloud Area Leadership APPLICATION

Instructions

Please complete each section in full.
Please do not attach resumes or other support materials.
The application must be signed by the candidate and employer. If you are self-employed, please sign the application as both the candidate and the employer. Applications are due by May 31.
All applicants will be notified of their status by July 31.

Leadership Program applicants should have:

A sincere commitment, motivation, and interest to serve the community.
Ability to make the time and personal commitment necessary to derive full benefit from the program.
Achievements in community leadership roles and activities or…
An opportunity for advancement to leadership positions within a place of employment and/or volunteer organization.
In addition to the stated criteria, every effort is made to include representatives from business, government, education, not-for-profit organizations, citizens at large, and those bringing diversity to the St. Cloud Area Leadership program in areas including, but not limited to, professional, geographic, age, gender, and ethnic background.

Commitment

To graduate from the St. Cloud Area Leadership program, a participant is expected to attend all sessions. Attendance at the retreat and May class sessions are mandatory. The retreat takes place on the 2nd Thursday and Friday of October and consists of two full-day sessions with one overnight stay. Day sessions include one full day per month and run from 7:30 a.m. to 5:00 p.m. on the second Thursday of the month from September through May with an evening graduation ceremony following the May class session.

Dates for 2022-2023 Leadership Program

September 8, 2022
October 13-14, 2022 (Retreat)
November 10, 2022

December 8, 2022
January 12, 2023
February 9, 2023

March 9, 2023
April 13, 2023
May 11, 2023 (Graduation)

I. Personal Data

Name

First Middle Last

Preferred Name

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years In St. Cloud Area

Occupation

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone

Cell Phone

Email(Required)

Email Type

Personal

Work

II. Employment

Present Employer

Date of Hire

Type of Organization

Title

List Other Recent Employment

What do you consider to be your highest responsibility, skill, or career achievement so far?

Special awards, honors, extracurricular activities, or service activities

Education

List the last completed education level.

IV. Community Involvement

List, in order of importance to you, up to three community, civic, professional, business, religious, social, athletic or other organizations of which you are or have been a member. Please include organization, date of membership, and responsibility.

What type of volunteer activities would you like to become active with in the future?

V. General Information

What do you think is a significant challenge facing the St. Cloud area today?

What are your ideas for addressing this challenge?

What do you think is the area's most notable opportunity?

What strengths would you bring to the Leadership Program?

What specific skills/knowledge do you hope to gain from participating in the St. Cloud Area Leadership Program?

VI. Recommendations

Please list 2 people who are knowledgeable about your leadership performance and potential.

Name

Phone

Relationship

Address

Please list 2 people who are knowledgeable about your leadership performance and potential.

Name

Phone

Relationship

Address

VII. Tuition

Tuition for Chamber members is $625, non-Chamber members is $900. Tuition is non-refundable and due to the Chamber office by August 31.

If selected, who will be responsible for your tuition?

Employer

You

Candidate: Attendance at all sessions is top priority. Retreat and May class session attendance is mandatory.(Required)

I understand the purpose of the St. Cloud Leadership Program and if I am selected, I will devote the time and resources necessary to complete the program. I understand the above commitments and agree to be bound by them in signing this application.

Applicant Signature(Required)

Date

Employer(Required)

By checking this box, I am certifying that this application has the approval of this organization and the candidate has our full support, which includes the time required to participate in this program.

Name(Required)

First Last

Signature(Required)

Date

Employer Email(Required)

*Please note: A copy of this application will be sent to the employer at the email indicated above.

St. Cloud Area Leadership is a program of the St. Cloud Area Chamber of Commerce