South County Leadership Class 3 Application 2021

Leadership South County - Class lll 2021

We are thrilled to invite you to be a part of the third Leadership South County Class! To be considered, please complete the application below. Please note, you'll be asked to upload a letter of recommendation. If you do not have a letter of recommendation handy, that's a-okay. However, you will need to submit one prior to your interview in December 2020. If you have any questions, please contact Marty Imes at (805) 748-9879 or marty@southcountychambers.com. Cheers to your success!

Application Deadline

Friday, December 11, 2020, by midnight PST.

Group Interview Dates + Times

Wed, Dec. 16, 2020, | Thu, Dec. 17, 2020, | Fri, Dec. 18, 2020
Between 3:00 pm - 6:00 pm*

*You will receive a signup link via email to select your interview date & time.

What You'll Learn & Explore in 2021

Leadership Development	Community Focus Areas
Purpose, Vision & Values	Business & Manufacturing
Goal Setting & Execution	Arts & Education
Effective Communication	Recreation & Tourism
Performance Management	Housing
Inclusion & Diversity	Wine & Agriculture
Leading Change	Environmental Sustainability
Appreciation & Celebration	Non-profit Organizations
Increasing Productivity	Government
Leadership Mindset & Habits	Regional Cooperation

2021 Schedule**

Date	Experience	Time
Fri, Jan. 22	Welcome + Orientation	1p - 6p
Fri, Feb. 5 + 19	Virtual Sessions (2x)	9a - 12p
Fri, Mar. 4 + 19	Virtual Sessions (2x)	9a - 12p
Fri, Apr. 2	Field Day	9a - 3p
Fri, May 7 + 21	Virtual Sessions (2x)	9a - 12p
Fri, Jun. 4	Field Day	9a - 3p
Fri, Jul. 9 + 23	Virtual Sessions (2x)	9a - 12p
Fri, Aug. 6	Field Day	9a - 3p
Fri, Sep. 3 + 17	Virtual Sessions (2x)	9a - 12p
Fri, Oct. 1	Field Day	9a - 3p
Fri, Oct. 15	Graduation Celebration*	4p - 6p

*Possible retreat
**Dates subject to change due to potential Covid-19 restrictions.

Name *
First and Last Name
Date of Birth
Month and day is great - year is optional
Email Address *
Please include an email address you check regularly
Cell Phone

Area Code Phone Number
Other Phone

Area Code Phone Number
Preferred means of communication
Phone, email, or text
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Current Employer
If retired or in transition, please note your most recent employer. Thank you!
Current Title
If retired or in transition, please note your most recent title. Thank you!
Business Phone

Area Code Phone Number
Business Website
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Average workload
Please note the average number of hours you work per week
Please include a brief description of your primary duties and responsibilities
Bullet points are great!
The Leadership South County tuition is $1,500.00 for the 9 month program. The tuition price is all-inclusive and includes meals, activities, and optional one-on-one coaching from our partners at CultureStoke. If you are accepted to the program, how do you plan to pay for the program?Please choose one of the payment schedules below as your preference.

PAY IN FULL (save $300.00). $1,200.00 due January 15, 2021. 3 PAYMENTS of $500.00. First payment due January 15, 2021, Second payment due February 15, 2021, last payment due March 15, 2021. I'm interested in applying for a 50% scholarship. Scholarship cost is $750.00. (There are three scholarships available for Class lll. Scholarships will be awarded by the Leadership South County Board of Directors)
What interests you in being a part of Leadership South County?
Bullet points are great!
Have you participated in any personal or professional Leadership development program before?
If so, please note the details of the leadership program here.
Please list any service work or community organizations you are involved with.
Bullet points are great!
What do you see as the greatest challenge impacting the quality of life in South County?
What do you see as the greatest opportunity to improve the quality of life in South County?
What do you like to do for fun?
What specific leadership skills do you hope to develop or strengthen by being a part of Leadership South County?
Which is a better dessert, pie or cake?

Pie Cake
Letter of recommendation
Please upload a letter of recommendation in the form of a PDF or Word document. You may submit this application without letter of recommendation, although you will need to submit one prior to your interview in December.
Thank you very much for your interest!

We look forward to getting to know you and building a bigger and brighter future together. We will be in touch to set up interviews.
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Leadership South County - Class lll 2021

Thank you very much for your interest!