Core Program Employer Commitment Form

Core Program Employer Commitment Form
Employer Commitment

A nominee for the Core Program must have the support and commitment of his/her employer. The signature of the employer is required as an indication that the employer is in complete support of the nominee's participation.

Support includes financial support (willingness to pay tuition) and time support (willingness to provide the applicant with time off from work, once a month, to attend all ten, full-day sessions). In some situations, a sponsor may pay the tuition fee instead of the employer.
Employer commits to:*

Financial SupportTime CommitmentBoth
Tuition Policy

For all six programs tuition refunds are only guaranteed within TWO weeks of the first session. After the designated period, a refund will be considered on a case-by-case basis, at the discretion of the Executive Director.

Individuals who are dismissed from any program will not receive a refund.

Tuition assistance is now available to all qualifying candidates - regardless of the industry or sector.

Tuition for TLT and Core must be paid within 30 days from the start of the program UNLESS a written request regarding special payment is submitted to Leadership Lackawanna. LL has sole discretion to accept or decline such requests.

Tuition for WS!, Collegiate, LF 2.0 and Executive must be paid before the start of the program.

For questions about these policies, please contact Nicole Morristell, Executive Director, Leadership Lackawanna at nmorristell@scrantonchamber.com or (570) 342-7711 ext.125.
Core Program Applicant Name*

First NameLast Name
Employer Approving Officer Name*

First NameLast Name
Employer Approving Officer Title*
Employer Approving Officer Email*
example@example.com
Employer Approving Officer Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Should be Empty: