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  • LEADERSHIP LIVINGSTON

  • CONFIDENTIAL APPLICATION

  • Attn: Selection Committee

  • Thank you for your interest in LEADERSHIP LIVINGSTON, a program of the Livingston Parish Chamber of Commerce. Leadership Livingston is a community leadership program, unlike any type of Leadership program you have been a part of before. We take you on "field trips" throughout the parish, along with an overnight retreat and team sessions, allowing for a different perspective than a classroom setting. The experience and value are priceless and life changing.

    Please read through the full attendance, compliance, tuition and application to understand the commitment to the program. These items ARE enforced and add to the integrity of the program. According to 100% of past participants, the reward is worth the commitment. This program is designed to enhance Livingston Parish overall. Those who #LoveLp like we do are especially encouraged to apply. What could be more valuable than informed people sharing what they have learned, leading the way and making the parish and each of its communities better!

  • Please complete the application, used by the Selection Committee, to be considered for Leadership Livingston. Before submitting, review your application to ensure it is complete and accurate.
  • Application Requirement Checklist:

  • LEADERSHIP LIVINGSTON Selection Committee
    Livingston Parish Chamber of Commerce
    248 Veterans Blvd. | Denham Springs
    PO Box 591 | Denham Springs, LA 70727
    Phone: (225) 665-8155 | Email: office@livingstonparishchamber.org

  • PERSONAL INFORMATION - TELL US ABOUT YOU

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • To reflect diversity, the following information is requested and confidential.
  • Birth Date
     - -

  • EDUCATION

  • Briefly summarize your education background. List degrees / certificates received, field of study, vocational training programs, professional institutes, diplomas, etc. Please note, ALL education backgrounds are considered and desired for acceptance in the class.

  • ORGANIZATIONS | ACTIVITIES | COMMUNITY INVOLVEMENT

  • List the business, community, civic, political, athletic, religious, cultural, job-related, or other organizations, if any, which you have been involved in or plan to be involved in. All levels of involvement are considered, even if you just aspire to get started.

  • BUSINESS INFORMATION | EMPLOYER INFO

  • Format: (000) 000-0000.
  • At current employer since (Date)
     - -

  • Special Considerations:

  • Do you require handicapped access or special accommodations (including dietary)?
  • Please note: Most meals are sponsored throughout the program and special diet considerations may be a challenge. If you require a special diet, you may be asked to provide your own meals to assure compliance with your required diet. Do you agree to this requirement?

  • Signature page

  • AUTHORITY & PERMISSION

  • Sponsoring Organization | Business | Other | Supervisor's Signature - Please note, volunteer requirements should be just that, volunteer. We do leave that to the employer's discretion.
  • This candidate,____________________________________, has my full support to participate in LEADERSHIP LIVINGSTON and all requirements of the program, including regular class time, outside activity and project group participation. I am aware of the time commitment involved for effective participation, as well as the financial obligation. I am also aware there are no refunds once accepted into the program. By signing, I acknowledge I am the correct contact point to authorize this support.
  • Format: (000) 000-0000.
  • APPLICANT'S COMMITMENT
  • Date
     - -

  • LIVINGSTON PARISH OPPORTUNITIES & CHALLENGES – YOUR VIEWS

  • From your observations: What are the issues facing Livingston Parish? What are the opportunities for improvement or addressing issues? What about positive attributes Livingston Parish has to offer? What do you feel needs to be done to develop these opportunities?

  • WHY LEADERSHIP LIVINGTON?

  • COMMITMENT –

  • "the state or quality of being dedicated to a cause, activity, teammates, etc."

  • Read this and sign below indicating your understanding
    To graduate from LEADERSHIP LIVINGSTON, participants are expected to fulfill the following:
  • MANDATORY: Required for Graduation | PLEASE CHECK EACH ONE
  • REQUIRED: but under extenuating circumstances can be reconsidered, with prior approval:

  • NECESSARY: Monthly Sessions No more than 2 missed sessions allowed. Partial days are added to absences. Strictly enforced! Every year attempts are made to push the limits on this, compromising the integrity of the program and responsibility to their other class-mates. Do NOT let this be you! We do offer to make up sessions the following year and graduate with the next year's class.

    • Sessions are September through May. Sessions require one full weekday per month from September through May, the third Tuesday of each month.
    • Topics include: City & Parish Government Session | Commerce & Economic Development Session | Arts, Culture & History Session | Health Care & Social Concerns Session | State Government Session | Education Session | Criminal Justice Session | Outdoor Recreation, Villages & Towns Session
  • I have read and understand the Mandatory, Required and Necessary commitments in order to graduate and complete the program listed on this page.
  • Date
     - -
  • In addition to the previous page, plus to reinforce, participants also agree to:
  • Commit, Understand and Agree to:
  • On Class Days:
  • Group Project | Outside Activity | Recaps
  • Have you read, understand, and agree to each of the guidelines?

  • TUITION AND / OR FULL PROGRAM SPONSOR OPPORTUNITY

  • Tuition includes: Meet & Greet event. Opening retreat including meals, materials, and overnight stay in a private room. One meal per session & snacks throughout the program. Access to Chamber luncheon. Health assessment opportunity – not guaranteed. SIMSOC experience, DISC assessment. Graduation program. Experience of a lifetime. Additional costs include group project fees and support for the group project, depending on your group’s decision.

  • TUITION for each participant (please check your preference):

  • Will you be able to fulfill this financial commitment? AND do you agree to remit the full price of the program immediately upon acceptance, and prior to the Class Orientation.

  • FULL PROGRAM SPONSOR | Leadership Livingston

  • $2,750 level or $1,500. This is an opportunity for those who wish to see their brand associated with developing our community and leaders. Program sponsorships for Leadership Livingston are for those who wish to further their support of this quality program. Program sponsors are recognized for their support of the full program by:

    • Priority consideration of application
    • Logo placement on select correspondence
    • Recognition and opportunity to address class and sponsors at meet & greet, programs and graduation
    • Graduation event speaking opportunity
    • One applicant for the program included at $2,750
    • Logo on signage, emails regarding Leadership
    • Investment in a quality Leadership Program
  • Tuition for each participant (please check one):
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  • Should be Empty: