2023 LEAD YP Application

2023 LEAD YP Application

Section 1: General Information
Full Name*

First NameLast Name
Date of Birth *

MonthDayYear
Date
E-mail*
Phone Number*

Area CodePhone Number
Ethnic Background

African AmericanAmerican IndianAngloAsian AmericanHispanic American
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Attach a copy of your resume here.*
Please upload your professional head shot (minimum 1 MB).*
Are you a member of the Dallas Regional Chamber Young Professionals?*

YesNo
To apply and participate in LEAD YP, membership in the Dallas Regional Chamber Young Professionals program is required. Please join YP by visiting www.dallaschamber.org/yp.

Not sure if you're a member of DRC YP, please contact yp@dallaschamber.org

Education (Mark all that apply)

Are you currently a member of or a volunteer with any professional, civic, or nonprofit organizations?*

YesNo
If yes, please describe your involvement with organizations below. If you would like to include PAST involvement or list more than three organzations, please include additional information in your attached resume.
Organization #1
Organization/Activity:
Hours per month:
Please describe your role, experience and any leadership positions.
Organization #2
Organization/Activity:
Hours per month:
Please describe your role, experience and any leadership positions.
Organization #3
Organization/Activity:
Hours per month:
Please describe your role, experience and any leadership positions.

2023 LEAD YP Application

Section 3: Short Answer Questions
Why are you interested in applying for LEAD YP? (200 word minimum)*

0/1000
Why should you be selected to participate in LEAD YP? (200 word minimum)*

0/1000
If selected, what do you expect to gain from this experience? (200 word minimum)*

0/1000
What three personal or professional goals do you hope to accomplish in the next 12 months? Be specific. (200 word minimum)*

0/1000
Is there anything else you would like the selection committee to consider regarding your application?

LEAD YP Class of 2022 Application

Section 4: Employer Information and Recommendations
Employer Participation

Due to the time commitment involved, LEAD YP applicants must have the support of their current employer to participate. Please list your employer/supervisor's name and email below. He/she will receive an email with a link to complete the employer participation form. Please speak with your employer prior to submitting this application. Your employer will also be asked to submit a letter of recommendation.
Employer Name*
Employer Title*
Company*
Employer E-mail*
Employer Phone Number*

Area CodePhone Number
Letters of Recommendation

Is there anyone else from inside your company or in your community involvement that you would like to submit a letter of recommendation on your behalf? If so please submit their information below.
Recommendation from
Title
Company
Email

LEAD YP Class of 2022 Application