Leadership Huntington Application Class of 2027

Leadership Huntington Application Class of 2027

Leadership Huntington is a program offered through the Huntington Regional Chamber of Commerce that is designed to connect, develop, empower, and mobilize current and emerging leaders who are committed to making a difference in the Tri-State region. The program is open to all individuals who live or work in Cabell or Wayne counties. For questions, please contact Rebecca Kasey at rebecca@huntingtonchamber.org. Applications close Monday, April 13.
Applicant Name*

First NameLast Name
Personal Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Education

College(s), business/trade schools or other specialized programs.
Name of Institution(s), Degree(s), and Graduation Date(s)*
Employment
Current Employer Name*
Job Title*
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Briefly describe your job responsibilities.*
Share an example of a time you took on a leadership role, formally or informally, in your current or a previous position.*
Previous Employment

Please include your previous employment history if you have been with your current employer for five years or less.
Past Employer's Name(s), Job Title(s), and Date(s) Employed
List starting with your most recent past position.
Business or Professional Affiliations (if applicable)

Please do not include civic organizations, public offices, or political activities in this section.
Name of Group(s)
Position(s) or Assignment(s) Held
Are you currently an active member?
Community Involvement

Share the community, civic, state, religious, political, or other service activities that have been most meaningful to you. Please do not include business or professional involvement listed in the previous section.
Organization Name(s)
What are (were) your community involvement responsibilities?
Community Awareness
What motivated you to apply for participation in Leadership Huntington and what do you hope to gain from the program? *
What specific skills or knowledge do you hope to contribute to the Leadership Huntington program?*
What aspect of the Tri-State matters most to you, and how would you hope to positively impact it?*
References

Please provide the names and contact information of two individuals who are familiar with your leadership performance and potential and who may be contacted regarding your qualifications for participation in Leadership Huntington.
Reference #1*

First NameLast Name
Organization/Business*
Title*
Email*
Phone Number*
Please enter a valid phone number.
Reference #2*

First NameLast Name
Organization/Business*
Title*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Tuition

The tuition for Leadership Huntington is $1,500 for Chamber members and $2,000 for non-Chamber members. If accepted into the Leadership Huntington program, you (or your employer) will be billed for the tuition that applies to your Chamber status. The fee covers costs for all required program events and is non-refundable. Please sign your initials to show you understand, if accepted, you will be billed accordingly and expected to pay in full prior to the start of the program or forfeit your seat in the program.
The Kirtley Insurance Leadership Huntington Scholarship (Open to Employee of Small Business or Nonprofit)

Check the box below if you would like to apply for the Kirtley Insurance Leadership Huntington Scholarship. A separate email will be sent to you with the link to the application.
Yes, I'm an employee/owner of a small business or nonprofit, and would like to receive the application for the Kirtley Insurance Leadership Huntington Scholarship.
Employer Commitment

Your application must have the approval and support of your employer, which includes the time required to participate in the program.
Supervisor's Name*

First NameLast Name
Title*
Supervisor's Email*
example@example.com
Leadership Huntington Commitment
The Leadership Huntington program consists of ten sessions held on the first Thursday of each month, unless otherwise noted. A full schedule of session dates and topics is available on our website. Participants are responsible for arranging their own transportation to each session location and should expect to travel to multiple sites throughout the day. Carpooling is encouraged.

The amount, quality, and value of information presented during each session are significant. Because space in the program is limited, attendance is essential. Participants may miss no more than one session (eight total hours). When a participant does not regularly attend, it denies another qualified applicant the opportunity to participate.

While emergencies may occur, any participant who misses more than one session, regardless of reason, will be required to participate in community service of their choosing before receiving a certificate of completion.

By signing below, you understand the purpose and objectives of the Leadership Huntington program and, if selected, commit to dedicating the necessary time to successfully complete it. By submitting this application, you acknowledge and agree to these expectations and confirm that you have the support and cooperation of your employer.
Initials*

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Leadership Huntington Application Class of 2027

Education

Employment

Previous Employment

Business or Professional Affiliations (if applicable)

Community Involvement

Community Awareness

References

Tuition

The Kirtley Insurance Leadership Huntington Scholarship (Open to Employee of Small Business or Nonprofit)

Employer Commitment

Leadership Huntington Commitment