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 have any questions, please contact Marty Imes at marty@southcountychambers.com.

January 4, 2021 Update:

At this point in time, the Leadership South County start date is currently postponed due to the continuation of the Regional Stay-at-Home Order.

We are committed to following public health and safety guidelines and will move forward with the program when approved to do so.

Please know that we will keep your application on file and proactively reach out with fresh developments until we can resume the program.

If you have any questions or concerns, please don’t hesitate to reach out.

Thank you for your patience and understanding.

Here's to holding the vision for 2021 - cheers!

Class III - Focus Areas

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

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!