Leadership Winchester 2022 Application

Leadership Winchester 2023 Application

Class of 2023 - 2024
Welcome!

You are taking the first step toward discovering your community! We wish everyone could join us, but space is limited. This application helps us determine who's ready to commit to the program. That said, Leadership Winchester-Clark County is open to anyone who lives or works in the county. Selection is determined without regard to race, color, religion, sexual orientation, sex or national origin. Class members are selected by persons outside Clark County based on information provided on this application. We hope to see you soon!
Deadline to Apply August 28, 2023.

Please contact Cindy Banks at the Winchester-Clark County Chamber of Commerce with any questions.

CindyBanks@WinchesterKyChamber.com

(859) 744-6420

61 South Main Street, Winchester, KY, United States, 40391
Contact Information
Name

First NameLast Name
Email
example@example.com
Where do you work?
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Present Title
How long have you worked at your present employer?
Responsibilities
Work Phone

Area CodePhone Number
How long have you lived in Winchester / Clark County?
How long have you worked in Winchester / Clark County?
NoYes (Please write a brief letter stating your need for financial assistance, and send to Cindy Banks.)
Please write a brief letter stating your need for financial assistance and upload it here.

Browse Files
.pdf, .doc, .docx, .odt, .rtf, .wps accepted Cancelof
Education

School

Rows	Name of School	Location	Dates Attended	Degree	Major (?)
1.
2.
3.
4.

To meet graduation requirements you must attend
nine of the ten full-day sessions.*
September 28 / Orientation with Cindy Banks
October 19 / Local Government with Greg Yates
November 16 / Non-Profits Host with Halee Cunningham
December 14 / Health Services with Matt Smith
January 25 / Economic Development with Brad Sowden
February 22 / State Government with Nick Comer
March 14 / Education with Kelly Fithen
April 25 / Tourism with Nancy Turner
May 16 / Agriculture with Lauren Mink
August / Graduation Celebration TBA
YesNo
Leadership
What do you hope to gain from participation in Leadership Winchester-Clark County?
In your judgement, what are the three most pressing problems facing the community today? Explain why and provide any recommendations for approaching and resolving these problems.
References

Two people who will sing your praise.
Reference 1

TitleName
Phone Number

Area CodePhone Number
Reference 2

TitleName
Phone Number

Area CodePhone Number
Almost done!

A few housekeeping items
Mail check to Chamber of CommerceDrop off to Chamber of CommerceOther
I acknowledge, if selected for Leadership Winchester-Clark County I (or my company/sponsor) am responsible for a $450 tuition.
If I am selected I pledge to devote the time and resources necessary to complete the program
Type your Name
Today's Date

MonthDayYear
Date
Signature*
Should be Empty:

Leadership Winchester 2023 Application

Welcome!

Contact Information

Education

Leadership

References

Almost done!