Course Registration Form

Leadership Estero Application 2023-2024

Overview: The Greater Estero Chamber's leadership program seeks to introduce a broad range of Southwest Florida participants to the Estero community, its unique history, and the key issues impacting the area. Through behind-the-scenes tours and workshops with community partners and leaders, participants will develop lasting relationships, bolster their leadership skills, and work collaboratively on a community project for the greater Estero region.
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number

Area CodePhone Number
Please provide your birthdate.

MonthDayYear
Date
Shirt Size:

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Employment
Company Name:
Title/Position
Company's Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company's Phone Number:

Area CodePhone Number
Type of Business:
Application Questions
Please share why you are interested in partcipating in Leadership Estero and what you are hoping to learn from this experience?
List your current community involvement?
What values do you think leaders should model?
Program Schedule
Class Sessions: (8 a.m to 5 p.m)

October 13 - Kick off

October 20 – Education

November 17 – Social Issues

January 19 – Arts, Culture & Tourism

February 16 – Public Safety

March 15 – Environment

April 19 – Local Government

May 17 – Healthcare

June 7- Graduation at Chamber Annual Awards Celebration
- Please note that dates and programs are subject to change.
- Programs are all-day sessions, unless otherwise noted.
Attendance
Attending program sessions is essential to achieve the program's full value. Those who cannot fully participate in a minimum of five sessions and the full kickoff should not apply for the program. The participant's employer will be required to sign an agreement to their full support for the employee's time required to participate in the Estero Leadership program.
Acknowledgment
I have read, acknowledged, and agree to the following terms:

Participating in this program costs $1,000 per member and $1,200 per future member.Tution is due in full by August, 31stTuition is non-refundableI must attend the Kickoff EventI must attend six sessions in full to qualify for graduation.
Thank you for interest and filling out the application for Leadership Estero! We look forward to reviewing your application and you will be hearing from us soon!
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Leadership Estero Application 2023-2024

Employment

Application Questions

Program Schedule

Attendance

Acknowledgment