Signature Program 2023-2024 Application

Signature Program Application

2023-2024
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 as diverse as possible to enrich the learning experience for all.

Please note: Due to limited space and high demand, all incoming applicants will be placed on a waitlist
Personal Information:
Full Name

First NameLast Name
Preferred First Name:
Date of Birth:

MonthDayYear
Ethnic/Racial Background (Optional):

Asian/South AsianBlack/African/Afro-CaribbeanCaucasianHispanic/LatinxNative AmericanMiddle Eastern/ArabPacific IslanderPrefer not to sayPrefer to self-describe
Years Residing in Toledo:
Home address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone:*

Area CodePhone 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

CityState / Province

Postal / Zip CodeCountry
Photo for Class Directory:*

Browse Files

Cancelof
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 participating in the Signature Program? What unique qualities would you bring to the class?
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?
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?

Commitment:

Tuition is $3,450 payable no later than August 30, 2023, and includes all materials and lunches. Limited funds are available for partial scholarships. Scholarship application available here. Requests for tuition assistance will be considered on the basis of demonstrated need and class composition.

Payment programs are also available. Contact arika@leadershiptoledo.org for more information.

Participation requirements:

1.) 80% attendance at sessions. The program calendar may be viewed at the bottom of this page. Please note the opening and closing retreats are MANDATORY. If you miss more than 20% of sessions, you may be asked to exit the program without a refund.

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

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

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

AgreeDisagree
Signature

Clear
I hereby submit my application for the Signature Program Class of 2024. I understand the time commitment involved, program goals, and effort necessary to be a contributing member of the Signature Program.

If you have any corrections after submitting this form, please call our office at 419.241.7371 or reach out to Arika Michaelis at arika@Leadershiptoledo.org
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Signature Program Application

Personal Information:

Affiliations and Involvement:

Miscellaneous: