Leadership LS 2024 - Lee's Summit Chamber of Commerce

Leadership LS 2024

Application for 2024 Class - Limited to 30/35 Class Members

Fields marked with an * are required.

APPLICANT INFORMATION

First Name *

Last Name *

Title *

Home Zip Code *

Years With Current Employer *

Cell Phone number *

Email *

SPONSORING BUSINESS

Sponsoring Business *

Address Line 1 *

Address Line 2 *

City *

State *

Postal Code *

SPONSOR CONTACT
This contact will be invited to the graduation ceremony and may be included in specific sessions.

First Name *

Last Name *

Employer (if different)

BUSINESS ADDRESS (IF DIFFERENT)

Address Line 1

Address Line 2

City

State

Postal Code

Phone

LEADERSHIP EXPERIENCE
Please provide insight into your past and present leadership experience.

Experience *

Please list any leadership experience that you believe applied to this application. List the name of the organization, your position and years involved.

PROGRAM EXPECTATIONS
Please provide insight into what you hope to gain from this program.

Expectations *

What do you hope to gain from the Leadership Lee's Summit Program?

REFERENCES
Please provide two professional references, other than your current employer.

First Name *

Last Name *

Organization *

Phone *

Email *

First Name *

Last Name *

Organization *

Phone *

Email *

APPLICANT AGREEMENT
Please indicate your agreement to the following statements. You will also be asked to sign a confirmation document in person if you are selected as a Leadership Lee's Summit participant.

I understand attendance at the September class is mandatory and classes/sessions cannot be missed. *

If selected as a participant, I am willing to attend all functions sponsored by the program. *

I understand if I miss more than 8 hours, I will need to make up in community service hours. *

I understand I will be ineligible to graduate if I miss two or more sessions. *

I understand I will participate in a group project that will require time outside regular sessions. *

I understand I represent my organization and will conduct myself professionally.

I understand if I fail to meet expectations, I may be asked to withdraw or not graduate the program. *

My sponsor/employer fully supports the time commitment of this program. *

Please verify that you have checked the “I'm not a robot” checkbox.