Leadership Englewood Confidential Application

The Leadership Englewood program brings together individuals who are looking to increase their leadership skills and gain a better understanding of the opportunities and challenges in our community. In addition to the personal development benefits, program graduates often say the personal relationships formed with fellow classmates is even more valuable. The program starts on October 14th with a full-day workshop entitled “Simulated Society” with monthly day-long sessions focusing on education, health care, the local economy and more. Applications can be picked-up at the Chamber office, downloaded or submitted online (see below).

Click Here to download the application for the class of 2016.

Online Application

Selection of Leadership Englewood participants is highly confidential and is based solely upon the answers to the questions on this application, so please be thoughtful, complete and sincere.
There is special emphasis on seating a representative group of persons involved in a variety of businesses, professions, government and non-profit community services.
Class size is limited to 20 students. Tuition is $500 per student. I understand full tuition will be due upon my acceptance unless other arrangements are approved in advance.
If you are selected for the Class, you must commit to attend each month’s class. If you miss a day or part of a day, you will be asked to take that portion of the program the next year as a make-up to cover the material that you missed. If you are unable to attend a class day, you must advise the Chamber well in advance to be excused. If you are absent two or more days, you will not be able to graduate with current class.
Participants are selected through an anonymous process. Try to avoid revealing your identity through your answers to the questions.

The application form automatically saves your submission progress on your computer. So you are able to leave this page at any point and continue later.

Candidate Information

Full Name

Nick Name for Badge

Home Address

Cell Phone

Employer

Job Title

Business Address

Business Phone

Business Fax

Questions

1. Tell us about yourself, such as where you live, employment history, extracurricular activities, education and special interests.

2. During your business career, what do you consider your most significant contribution or achievement?

3. Let us know what organization you are associated with (community, civic, professional, business, or other) and also the organization that you would like to become a member of in the future.

4. What types of volunteer activities would you like to become involved with in the future?

5. Describe how you have demonstrated a leadership role in your personal and/or professional life.

6. Describe one important personal or professional goal you hope to attain within the next five years.

7. What do you consider to be your major strengths and qualifications for participation in the Leadership Englewood program and describe your reason for wanting to participate in Leadership Englewood.

8. What benefits to the community do you feel are likely to result from your participation in Leadership Englewood?

9. What do you believe are the three most significant issues facing Englewood today and why? Select one of those issue and describe to us what you believe needs to be done about it.

Agreement

I understand the goals and commitments of the Leadership Englewood Program. If selected, I shall devote the time required to attend the above sessions and successfully complete the entire program including the commitment to work with my classmates on a class project. I understand tuition will be due upon my acceptance. My employer supports my application to the program.

Signature (Typing your name here is a legal signature)

* Required