Engaging Leaders in the Fox Valley since 1991

Engaging Leaders in the Fox Valley since 1991

A program of the Fox Cities Chamber
MISSION STATEMENT

Leadership Fox Cities, strives to ensure continuation of the area's quality of life by providing a forum to develop and motivate future leaders.
COMMITMENT

To graduate from Leadership Fox Cities, a participant is expected to:
- Attend and participate in a two-day, overnight, out of town Orientation Retreat September 27-28, 2023.
- Attend and participate in all monthly sessions, which are held the second Tuesday of each month: October 10, November 14, December 12, January 9, February 13, March 12, April 9, and May 14. Be on time and remain for the full sessions: 7:30 a.m. to 5:00 p.m. Please plan accordingly, attendance is mandatory. Those who fail to commit to this obligation may be asked to withdraw from the class with no refund of tuition. Class size is limited to 40.
- Participate in a small group service project during the program year, which is outside of the regular session schedule.
- Willing to learn new experiences.
- Attend the commencement program on May 21, 2024.
BENEFITS OF LEADERSHIP FOX CITIES
- Participants gain access to leaders they may not have met and learn first-hand about community needs and resources beyond their previous experience.
- Participants engage in active learning, asking their own questions and becoming aware of resources.
- Participants learn to work within groups, develop consensus, and to work together for a common good.
INSTRUCTIONS

Please complete each section fully. Application must be signed by both the applicant and employer, if applicable, and returned no later than Monday, June 26, 2023. Applications received after the deadline will be put on a waitlist for the 2023-2024 Leadership Fox Cities program.

Leadership Fox Cities thoughtfully considers information submitted on this application and a selection committee carefully selects a group of applicants to create a class representing the business community, the arts, education, religion, government and community-based organizations. Applicants must have the full support of the organizations or businesses they represent. Attendance at an opening retreat and at monthly sessions is mandatory. Leadership Fox Cities is open to persons living or working in the greater Fox Cities area.
How did you hear about Leadership Fox Cities?
PERSONAL DATA
Date

MonthDayYear
Date
Name

First NameMiddle NameLast Name
Gender (optional)
Birth Date

MonthDayYear
Date
How long have you been in the Fox Cities?
With what race do you identify? (optional)

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
Preferred Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Personal Email
example@example.com
List 2 fun facts about yourself.
EMPLOYMENT (Include active military duty)
Business/Organization
Organization Name
Title/Responsibility
Work Phone Number

Area CodePhone Number
Work Email
example@example.com
COMMUNITY INVOLVEMENT
List up to 3 business/professional affiliations; civic, religious, social, board service, political/government, athletic, etc.
Organization Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Organization Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Organization Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
LEADERSHIP QUESTIONS
What do you consider your major leadership achievement to date?
Identify 3 major challenges, that are personal to you, in the Fox Cities area today.
Of the 3 major challenges noted above, which one would you work on to find a solution?
What would you expect to accomplish during the course of the year?
Identify the top 3 skills you would like to develop as a leader.
What unique trait can you bring to Leadership Fox Cities?
TUITION
If accepted into the Leadership Fox Cities program, you or your employer/sponsor will be billed for the tuition fee which covers all education, training and meal expenses. If your company is a Fox Cities Chamber member, tuition is discounted to $2,250. For non-members, tuition is $3,100. Tuition payment is to be fully paid by Thursday, Aug. 24, 2023.
Amount of tuition your employer/sponsor will pay:
$
Amount of tuition you will pay:
$
Please explain scholarship request*:
*There are a limited number of scholarships available for non-profits or small businesses (25 employees or less) for the Leadership Fox Cities 2023-2024 program year. The remainder of the tuition is to be paid by the employer, the participant or a combination of both. Scholarship requests will be reviewed when the application deadline is met. You will be notified at that time if you receive a scholarship.
Please ensure you can attend all of the sessions listed above before submitting the Leadership Fox Cities application.
I understand the purposes of the Leadership Fox Cities program and if I am selected I agree to commit the time and energy necessary to complete the program. I understand that, barring an emergency, my attendance is required and failure to comply may result in my dismissal from the class without a tuition refund.
Applicant signature*

Clear
Date*

MonthDayYear
Date
EMPLOYER APPROVAL (if applicable)
This application has the approval of this organization and the applicant has our support including the time required to participate in the program.
Business/Organization
Supervisor Name

First NameLast Name
Supervisor Title
Supervisor E-mail
example@example.com
Supervisor Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: