Cincy Next 2025, Class 12 Application

Admission is competitive and space is limited. Please submit your application online as soon as possible for the best opportunity to be accepted. If you need to step away from your application and finish it at a later date, you can click the "Save & Continue Later" button at the bottom of the application and you will receive an email with a link to continue at your convenience.

To complete your application, you will need to supply a reference. Please send your reference this form and have them submit it by the application due date (October 15, 2024).

There will be a non-refundable $50 application fee due at the time of submission. Once you hit the submit button, you will be automatically redirected to make your payment. Your application will not be considered complete or reviewed until we receive this payment.

If you have any issues submitting your application or processing your payment, please contact Megan Liebenow at mliebenow@cincinnatichamber.com.

Name* This field is required.

First Name

Last Name

Primary Email Address* This field is required.To be used throughout the class.

example@example.com

Personal Email Address

example@example.com

Years of Professional Experience as of March 2025* This field is required.This should include experience across all industries and career breaks. Please do not include internships and grad school.

<2 years

2-4 years

5-8 years

>8 years

Other

Your LinkedIn URLPlease write N/A if you do not have one.

Primary Phone Number* This field is required.

Please enter a valid phone number.

Secondary Phone Number

Please enter a valid phone number.

Home Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Country of OriginOPTIONAL: Question is designed to help us achieve a diverse program

Date of Birth* This field is required.OPTIONAL: Question is designed to help us achieve a diverse program

Race/EthnicityOPTIONAL: Question is designed to help us achieve a diverse program

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Other

Gender* This field is required.OPTIONAL: Question is designed to help us achieve a diverse program

Female

Male

Non-Binary

Transgender

Intersex

I prefer not to say

Other

Sexual OrientationOPTIONAL: Question is designed to help us achieve a diverse program

Heterosexual

Bisexual

Homosexual

Pansexual

Asexual

I prefer not to say

Other

What are your pronouns?OPTIONAL: Question is designed to help us achieve a diverse program

She/her

He/him

They/them

I prefer not to say

Other

Are you a Veteran?OPTIONAL: Question is designed to help us achieve a diverse program

YESNO

Company/Organization* This field is required.

Job Title* This field is required.

Company Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

What is the nature of the business/organization? * This field is required.

Your Supervisor name:

Your supervisor email:

Do you lead people or a team, either directly or indirectly?* This field is required.Be specific. Share your role and a brief explanation of your responsibilities. Note that leading a team is not a requirement for applicants.

0/1500

Current CompanyList name of company, industry, your role, and years worked.

Previous Company #1List name of company, industry, your role, and years worked.

Previous Company #2List name of company, industry, your role, and years worked.

Grants: Partial grants up to $1,000 may be available for small non-profits, entrepreneurs, or those self-paying base on need. Would you like to apply for grant money?

Yes

If yes to applying to grant, enter grant amount requested:

If yes to applying to grant, please briefly explain why you are requesting financial assistance and how you think your participation in the program would provide a distinct and positive addition to the class.

If you do not receive the grant requested, will you still be able to take part in the program if accepted?

Yes

Collectively, how many years have you lived in the Cincinnati region?

<2 years

2-5 years

6-10 years

11+ years

My entire life

If you've lived and/or worked in other cities longer than one month, please list where and for how long.

Have you previously applied to or participated in a Cincinnati Regional Chamber or other community leadership program (e.g., Leadership Cincinnati, WE Lead, Cincy Next, Urban Leaders Program, Leadership Northern Kentucky)?

Yes

If yes, which program(s) and what year(s)?* This field is required.

How did you hear about Cincy Next?* This field is required.

Referral

Social Media

The Chamber Website

Digital Ad

Print Ad

Event

Other

Please share by whom you were referred or how you heard about the Cincy Next program.

Have you spoken with anyone at the Cincinnati Chamber about Cincy Next? If so, whom?

Are you aware of others from your organizations who are applying for the program?* This field is required.

Yes

Do you know anyone else applying for Cincy Next 2025, Class 12? If yes, what is your relationship to them?Knowing someone else applying does not lessen chances of being accepted.

Relevant Leadership Experience & Community Involvement* This field is required.Briefly list membership, leadership roles and/or awards in school, community, civic, professional, religious and social organizations that have been of significance to you. Please include approximate dates of participation. This can be bulleted. Note that previous involvement etc., is not a requirement for applicants. This can be bulleted.

0/1500

Briefly describe a significant accomplishment (can be professional, personal, community, etc.).* This field is required.Be specific. Describe the situation, actions taken, results and your leadership role. 300 words or less.

0/1500

Describe a mistake from the last five years that had a big impact on your personal or professional life, and how that experience changed the way you operate/what you learned.* This field is required.Be specific and do not only generalize. Everyone experiences setbacks, challenges and/or failures. Please share yours. 500 words or less.

0/1500

What will you bring to Cincy Next? Please briefly share how you may apply your learnings to your work and community.* This field is required.Acceptance into Cincy Next is selective. Please include what you can contribute to the program and what you hope to gain from the experience. 300 words or less.

0/1500

What are your (up to 3) professional goals and what do you need from Cincy Next to reach them?* This field is required.Keep in mind how they relate to going through Cincy Next. This can be bulleted.

0/1500

From your perspective, what is the Cincinnati region's greatest challenge?* This field is required.300 words or less.

0/1500

As mentioned, Cincy Next is competitive. Please share something else that will help us get to know you better as an individual. This could be personal or professional, serious, or fun. * This field is required.300 words or less.

0/1500

Participants of the program will be asked to engage in small group meetings and one-on-ones that will require approximately 3-5 hours between each session. Will you be able to contribute the time and energy needed to fulfill these assignments?* This field is required.

YESNO

I understand the purpose of Cincy Next, the attendance requirements, and the time and energy necessary to make it a successful experience. I will commit fully to the program and will block my calendar on the following dates to make this a priority.* This field is required.Your participation is critical for the success of the program. This program will be offered in person and hosted at multiple locations throughout the region. The curriculum for Cincy Next includes a kickoff reception, graduation ceremony, overnight retreat, 6 full-day sessions, and a project session. Cincy Next Class 12 (2025) Dates Opening Reception: March 12, 2025 3-6 p.m. Overnight "Venture Out!" Retreat at Camp Joy (REQUIRED): March 27-28 2025 -Volunteer Small Group Project Session: April 2, 2025 3-5 p.m. Session 1: April 16, 2025 8:30 a.m.-4:30 p.m. Session 2: Wednesday, May 14, 2025 8:30 a.m.-4:30 p.m. Session 3: Wednesday, June 18, 2025 8:30 a.m.-4:30 p.m. Session 4: Wednesday, July 16, 2025 8:30 a.m.-4:30 p.m. Session 5: Wednesday, August 20, 2025 8:30 a.m.-4:30 p.m. Session 6: Wednesday, September 17, 2025 8:30 a.m.-4:30 p.m. Graduation Celebration: October 1, 2025 5-8 p.m.

YESNO

Please upload your preferred headshot.* This field is required.Please Title: Last Name, First Name, CincyNext12. These are for program use only (e.g., bio book, social media graphics, etc.).

Drag and drop files here

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Max. file size: 10.6MB

Signature* This field is required.Your signature verifies your submission. When you hit submit, you will be redirected to pay your $50 application fee. As a reminder, your application will not be considered complete or reviewed until this payment is received.

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Cincy Next 2025, Class 12 Application