• View downloadable application questions.

    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

    1. Complete the online application by October 15, 2024. The online application includes open-ended questions. We recommend downloading this document with the questions, taking time to think about and answer them, and saving them on the document. Then copy and paste into the online application when ready.
    2. 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 issues submitting your application or processing your payment, please contact Andrea Mersmann at amersmann@cincinnatichamber.com.

  • Your Basic Information

  • Years of Professional Experience as of March 2025*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Race/Ethnicity
  • Gender*
  • Sexual Orientation
  • What are your pronouns?
  • Are you a Veteran?

  • Your Organization Information

  • Do you have full support from your employer for the tuition financial commitment required to take participate in the program? Financial commitment from organization is not required. There is an option for self-pay or a combination of self and organization pay.
  • Do you have full support from your employer for the required time away from work to participate in the program?
  • 0/1500

  • Your Employment History

    Begin with your current employer and go back successively through your previous 1-2 employers. Include years of work.
  • 0/0100

  • Grant Request

  • Grants: Partial grants up to $1,300 may be available for small non-profits, entrepreneurs, or those self-paying base on need. Would you like to apply for grant money?
  • If you do not receive the grant requested, will you still be able to take part in the program if accepted?

  • Supplemental Information

  • Collectively, how many years have you lived in the Cincinnati region?
  • 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)?
  • How did you hear about C-Change?*
  • Are you aware of others from your organizations who are applying for the program?*

  • Long Answer Questions

    Please bring your true self to the application. So often individuals are trying to be so professional that we do not get to know them. We want to get to know you.
  • 0/1000
  • 0/1500
  • 0/1500
  • 0/1500
  • 0/1500
  • 0/1500
  • 0/1500
  • 0/1500
  • Participants of the program may be asked to engage in pre-class assignments that will require approximately 1-2 hours during the weeks prior to each session. Will you be able to contribute the time needed to fulfill these assignments?
  • Participants of the program will be required to take part in a small group project that will require approximately 4-6 hours/month outside of the sessions. Will you be able to contribute the time needed to fulfill this requirement?
  • I understand the purpose of C-Change, 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.
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