2020-2021 LEAD Clermont Community Leadership Program (CLP) Nomination Application

Nominating Application for consideration to join the 2020-2021 LEAD Clermont Community Leadership Program (CLP) cohort from July-May.

This is the Lead Clermont Academy flagship program, with its roots dating back to 1988. It provides the greatest exposure to our county, its leaders and opportunities. This is a high impact, lively leadership and team building course developed to engage class members with volunteer services throughout Clermont County. Each full-day class is half leadership development and half learning about an aspect of our county. Over the 11-month program students meet a who’s who of key community leaders.

Commitment:
- Half-day "Call to Lead": orientation in July
- Two-day team-building retreat in August
- Full day classroom days, the first Thursday of each month, September-May
- "Commence to LEAD" celebration in May
- Personal development and team studies-several hours per month

Question Title

* 1. Please provide your information

By entering your personal information, you are permitting the Clermont Chamber of Commerce Foundation to print photographs and biographical information about you in materials promoting the programs and accomplishments of its alumni.

Name

Job Title

Employer

Work Email

Personal Email

Work phone #

Cell phone #

Birthdate (mm-dd-yy)

LinkedIn Profile URL

Work address

Home address

Question Title

* 2. I acknowledge and accept the LEAD tuition of $2,750

Yes

Question Title

* 3. Contact information for LEAD invoice billing

Name

Question Title

* 4. Emergency Contact

Name

Phone

Address

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* 5. List any special accommodations (if none, enter "none")

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* 6. Professional Activities: Please list any and all professional activities in which you have participated during the past five years. Include awards or special recognition and any offices that you have held.

2020-2021 LEAD Clermont Community Leadership Program (CLP) Nomination Application

Question Title

* 1. Please provide your information

By entering your personal information, you are permitting the Clermont Chamber of Commerce Foundation to print photographs and biographical information about you in materials promoting the programs and accomplishments of its alumni.

Question Title

* 2. I acknowledge and accept the LEAD tuition of $2,750

Question Title

* 3. Contact information for LEAD invoice billing

Question Title

* 4. Emergency Contact

Question Title

* 5. List any special accommodations (if none, enter "none")

Question Title

* 6. Professional Activities: Please list any and all professional activities in which you have participated during the past five years. Include awards or special recognition and any offices that you have held.

Question Title

* 7. Community Involvement: Please explain what you consider to be your most important achievement in the community and your involvement.

Question Title

* 8. What do you see as a pressing issue or opportunity in Clermont County?

Question Title

* 9. How do you expect to use your personal growth from LEAD Clermont?

2020-2021 LEAD Clermont Community Leadership Program (CLP) Nomination Application

Question Title

* 1. Please provide your informationBy entering your personal information, you are permitting the Clermont Chamber of Commerce Foundation to print photographs and biographical information about you in materials promoting the programs and accomplishments of its alumni.

Question Title

* 2. I acknowledge and accept the LEAD tuition of $2,750

Question Title

* 3. Contact information for LEAD invoice billing

Question Title

* 4. Emergency Contact

Question Title

* 5. List any special accommodations (if none, enter "none")

Question Title

* 6. Professional Activities: Please list any and all professional activities in which you have participated during the past five years. Include awards or special recognition and any offices that you have held.

Question Title

* 7. Community Involvement: Please explain what you consider to be your most important achievement in the community and your involvement.

Question Title

* 8. What do you see as a pressing issue or opportunity in Clermont County?

Question Title

* 9. How do you expect to use your personal growth from LEAD Clermont?

* 1. Please provide your information

By entering your personal information, you are permitting the Clermont Chamber of Commerce Foundation to print photographs and biographical information about you in materials promoting the programs and accomplishments of its alumni.