Signature Program 2021-2022 Application

Leadership Toledo 2021-2022 Application
Leadership Toledo exists to cultivate a community of leaders dedicated to serving with authenticity and purpose.

Through our programming, Leadership Toledo offers participants the opportunity to:
- Become a more confident leader
- Connect with your community on a deeper level
- Grow in stronger self-awareness
- Serve in ways that are meaningful to you and your community
Our goal is to assemble a class that represents the greater Toledo community, and is diverse as possible to enrich the learning experience for all.
Please note, the 2021-2022 calendar is tentative. We will strive to adhere to the set forth dates as best we can. As we continue to navigate the COVID-19 crisis and changing protocols, your flexibility will be needed and dates may change with as ample notice as possible.
Personal Information:
Full Name

First Name Last Name
Preferred First Name:
Date of Birth:

Month Day Year
Ethnic/Racial Background (Optional):

Asian/South Asian Black/African/Afro-Caribbean Caucasian Hispanic/Latinx Native American Middle Eastern/Arab Pacific Islander Prefer not to say Prefer to self-describe
Years Residing in Toledo:
Home address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Cell Phone: *

Area Code Phone Number
Preferred Email: *
All communication will go to this address
College:
Degree/Major:
Other College:
Degree/Major:
Place of Employment:
Title/Position:
Business Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Photo for Class Directory: *

Browse Files

Cancel of
Dietary Restrictions
Affiliations and Involvement:
Business and Professional Affiliations (Please list the organization, position held and year):
Community Involvement:
Special Honors and Recognition (In the community/business world):
Miscellaneous:
What are your personal hobbies and interests?
What personal benefit(s) do you anticipate from participation in the Leadership Toledo program? What unique qualities would you bring to the class?
If you could select three issues to work on that would make a difference in the life of the community or an individual, what would they be?
What do you consider to be a significant challenge that our community currently faces? How can you be a part of the solution to that challenge?

Commitment:

Tuition is $2,950 payable no later than August 30, 2021 and includes all materials and lunches. Limited funds are available for partial scholarships. Requests for tuition assistance will be considered on the basis of demonstrated need and class composition. Payment programs are also available. Call for more information.

Participation requirements:

1.) 80% attendance at sessions. The Opening Retreat is MANDATORY. Visit www.leadershiptoledo.org to review current agenda. (If you miss more than 20% of sessions, you may be asked to exit the program without refund)

2.) Present for entire session day (arriving on time, staying until adjourned)

3.) Project work in small groups, commiment determined by group members.
I have reviewed the calendar and understand the commitment I am making and I will strive to honor this commitment:

Agree Disagree:
Your employer understands the commitment you are accepting and agrees to support you in work release time and/or tuition payments:

Agree Disagree
Signature

Clear
I hereby submit my application for the Leadership Toledo Class of 2022. I understand the time commitment involved, program goals, and effort necessary to be a contributing member of the Leadership Toledo program.

If you have any corrections after submitting this form, please call our office at 419.241.7371
LT 2021-2022 Tentative Calendar
Should be Empty:

Leadership Toledo 2021-2022 Application

Personal Information:

Affiliations and Involvement:

Miscellaneous: