• Application - Leadership Shelby Class of 2024

    If you are interested in applying for the Class of 2024, please feel free to fill out the form below.  The calendar portion of this application is located in the application form below as a PDF. 

    The signed calendar is necessary to be considered for the Class of 2024.


    The Class of 2024 will start in August 2023.

     
    This program is for Shelby County, Kentucky.

  • Applicant Details:

  • Fees Information:

    Please provide information as to who will be paying your program fees.
  • Education:

    List High School, College, Business, or Trade Schools and Specialized Training
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  • Employment:

    Please give details of curent and previous employers, together with dates.
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  • Community Involvement:

    Please list, in order of importance to you, up to four community, civic, religious, or social organizations of which you are or have been an active member.
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  • Written Interview Questions

  • Letters of Recommendation

    Please Upload TWO letters of Recommendation below:
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  • Scholarship Assistance

  • COMMITMENT

     

    To graduate from Leadership Shelby, participants are expected to attend each monthly session for the full day. (Two excused absences may be permitted.) Our opening retreat is overnight and the closing retreat is a one day out of town meeting. Attendance of both retreats is mandatory. There are no exceptions. Applicants selected for Leadership Shelby will be billed for the $550 non-refundable tuition payable no later than July 31st. If selected I will devote the time and resources required to fully participate in the program.

    I understand if I am absent from more than two sessions, I will be required to withdraw from the program and my tuition will not be refunded. The signatures below indicate mine and my employer’s commitment to the application, attendance and tuition requirements. Late or incomplete applications will not be considered. Applicants will be notified by email of their acceptance by June 15th. It is your responsibility to remit the $550 tuition which must be received by Leadership Shelby no later than the July 31st deadline. If you are a scholarship recipient and do not complete the program you will be required to reimburse the Leadership Shelby scholarship fund.

    In addition to your signature below, please attach below the Leadership Shelby Program calendar signed by you and your employer.

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  • Declaration

    I certify that, to the best of my belief, the information I have provided is complete and true.

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  • Checks for the $20 Application Fee can be made out and mailed to Leadership Shelby:

    Make check payable to:

    Leadership Shelby

    Mail to:

    P.O. Box 24

    Shelbyville, KY 40066

  • Please click one of the PayPal options to complete payment and submit the form.

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