TOBA Leadership Institute Application

TOBA Leadership Institute Application
Expectations and Guidelines

The TOBA Leadership Institute is a commitment. As members of this cohort, you will be held to our high standards of professionalism to guarantee that the integrity and quality of our program is preserved.

This 6th class of innovative business and community leaders will continue to uphold the mission and vision of our program through the following expectations and guidelines:
- Participants are expected to attend all sessions with only one excused absence allowed
- Attendance at the opening briefing session and final project presentations is mandatory to graduate from the program
- Leaders must participate in the development of your assigned group’s Community Enhancement Plan (which will be discussed in detail at a later date)
- Through your group, you must attend all scheduled meetings to complete project needs
- Communicate with your group regularly through channels determined by your team (email, text, GroupMe, Zoom, etc.)
- Communicate not only with your group but with the TLI committee and TOBA Board members when needed
- Unless notified otherwise, business casual attire is expected at all TLI sessions (no jeans, sneakers, hats, etc.)
- Please ensure all sections are completed before submission
- Interviews take place in early February on Saturday
When approaching all aspects of the TOBA Leadership Institute, be flexible and open to learning, building, and expanding your professional network. Be sure to contribute and engage in TLI sessions with questions and comments when appropriate. This and the previous guidelines mentioned will ensure you graduate from the program with the best experience on your path to impacting your community and the Tampa Bay area communities at large.
PROGRAM INFORMATION
2025 TOBA Leadership Institute Program Dates
- Session 1: Saturday, February 22
- Session 2: Saturday, March 8
- Session 3: Saturday, March 22
- Session 4: Saturday, April 15
- Session 5: Saturday, April 19
- Session 6: Saturday, May 3
- Session 7: Saturday, May 17
- Session 8: Saturday, May 31
- Final Presentations: Saturday, June 14
- Graduation: Saturday, June 28
Personal Information

Please enter your personal information in the spaces provided below.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth *

MonthDayYear
Date
Ethnicity/Race*

African AmericanAsianCaucasianHispanicOther
Gender*

MaleFemaleOther
City, State of Birth Place *
What's your story? Where did you grow up or spend most of your childhood? *
Where did you grow up or spend most of your childhood?
How long have you lived in the Tampa Bay Area? *
Social Media

Please list your personal or professional social media accounts that are open for public viewing.
Facebook
Instagram: (@example)
LinkedIn: (@example)
Website, Blogs, YouTube Channels, etc:
Employment History

Military/Employment/Other Relevant Experience-Please attach resume at the end of this form before final submission.
Current Employer *
Hire Date *

MonthDayYear
Date
Title/Position*
Business Phone Number

Area CodePhone Number
Military Service (Branch of Service, Highest Rank, Dates Served) *
Other Relevant Experience *
Within the prior 10 years have you been arrested for a felony or crime involving dishonesty? If so, list the crime, jurisdiction, and dates of arrest. (The answer will not disqualify your application.)*
Education

If applicable, list any undergraduate, graduate, certificates or licenses.
Name of Institution/Organization *
Dates of Attendance *
Degree/Certificate*
Name of Institution/Organization
Degree/Certificate
Dates of Attendance
Name of Institution/Organization
Dates of Attendance
Degree/Certificate
Special Awards or Recognition *
Leadership Experience

If applicable, list and describe all educational, employment, civic or community leadership programs that you have participated/are participating in.
Leadership Experience A*
Leadership Experience B
Leadership Experience C
Community Involvement
List and describe any community organizations/programs that you have volunteered with or participated in within the last 3 years.
Accomplishments and Awards

Please list and describe any accomplishments or awards that you have received professionally or in the community.
Award/Recognition- Please give the name of the awarding entity or organization, date awarded and a brief description of the award.
Award/Recognition- Please give the name of the awarding entity or organization, date awarded and a brief description of the award.
Community Perspectives & Solutions

Please respond to the challenge questions/scenarios thoroughly. Be yourself and let your personality show in your responses!
Select two - three categories below that you are most passionate about in terms of impacting the Black community In Tampa Bay. Education, Legal Justice, Health, Housing and Affordability, Economic Opportunity, Employment, Entrepreneurship, or other. Briefly explain your selections. *
What solutions would you take to address the issues listed above? *
What is your vision for a "progressive" or "thriving" community for Black people in Tampa Bay? What does that look like? *
References

Please provide three personal references.
Reference 1- Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Reference 2- Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Reference 3- Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
How Did You Hear About TLI?*
File Upload
Please upload your personal/professional resume. *

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Please upload a headshot or professional photo.

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SIGNATURE
By my signature below, I acknowledge that the information provided is accurate and true to the best of my knowledge. I also understand that by signing below that I am agreeing to the Expectations and Terms of participating in the TOBA Leadership Institute as outlined above.*

Clear

Please fill out the application below. At the end, you will be asked to pay the $50 non-refundable application fee. If you are accepted into the TOBA Leadership Institute, there will be a membership fee of $300 due at the first session in February. If you have any questions, please contact TOBATLITampa@gmail.com.

Deadline to Apply: January 26, 2025
Submit Application Fee

Please fill out the form below to complete your application.

Please select to process your application*

TLI Application FeeApplication fee for the TOBA Leadership Institute

$50.00

Total

$0.00

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Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

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TOBA Leadership Institute Application

PROGRAM INFORMATION

Personal Information

Social Media

Employment History

Education

Leadership Experience

Community Involvement

Accomplishments and Awards

Community Perspectives & Solutions

References

File Upload

SIGNATURE

Submit Application Fee