Application
Leadership Greensboro 2022 Class

Thank you for applying to the Leadership Greensboro 2022 Class!

Please read the instructions before you begin!

APPLICATION INSTRUCTIONS

(1) The application can be edited after it’s begun only if the window/browser is kept active; it is recommended that it’s completed in its entirety at once including document uploads to prevent a missed deadline.
(2) Before you start: we recommend that you collect Letters of Recommendation and the signed Commitment and Attendance policy form in advance of completing the application.
(3) Letters of Recommendation must be signed by the reference and the Commitment & Attendance policy must be signed by applicant & manager/sponsor.
(4) The application includes brief essay questions.
(5) Complete each section fully. Applications will not be considered without all supporting documents and information completed.

*Estimated time to complete the application (after required documents are complete) is 30 to 45 minutes.

REQUIRED ITEMS for complete application:

-Two (2) Letters of Recommendation, signed [upload in one document with application, no required format]
-Program Commitment & Attendance Policy, signed [upload with application, view here]
-Completed Online Application

The application deadline is July 30, 2021.

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* 1. PERSONAL

Applicant's Name (First MI)

Last Name

How you want your name to appear on a name tag

Address

City & State

ZIP

Personal Email

Business Email

Home Phone/Cell

Business Phone

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* 2. # Years of Residence in Greensboro

We believe that diversity in race, gender, age, socioeconomic status, sexual orientation, professional background, and etc., leads to a richer experience for the class. This required information helps to ensure such diversity.

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* 3. PROFILE

Date of Birth

Gender

Race

Hispanic or Non-Hispanic

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* 4. Check All That Apply

Previous applicant of Leadership Greensboro

Participant in another community leadership program

Previous participant of Experience Greensboro

Previous participant of Other Voices

None of the Above

List any other leadership program in which you have previously participated.

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* 5. How did you learn about Leadership Greensboro

Employer

Leadership Greensboro alumni

Leadership Greensboro webpage/Facebook

Information Session

Chamber of Commerce employee

Leadership Greensboro event

Other

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* 6. EMPLOYMENT

Current Employer

Title

Address (including Suite #)

City/Town & State

ZIP/Postal Code

# Years Employed Here

Is your current company a member of the Chamber of Commerce?

Briefly describe your responsibilities in your current position.

What do you consider your highest career achievement to date?

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* 7. COMMUNITY INVOLVEMENT

Organization #1

Position Held

Dates

Organization #2

Position Held

Dates

Organization #3

Position Held

Dates

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* 8. EMPLOYMENT HISTORY (2 most recent employers)

Company #1

Position Held

Dates Employed

Company #2

Position Held

Dates Employed

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* 9. What do you consider your most important accomplishment in community or civic activities? Why?

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* 10. What do you consider the three most pressing challenges facing Greensboro today? List also a recommendation to meet each of the three challenges.

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* 11. Describe a specific experience where you worked collaboratively with people with differing perspectives than your own. What did you learn about yourself and others from the experience?

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* 12. What do you expect to gain from Leadership Greensboro?

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* 13. How would others in the class benefit from your participation?

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* 14. What do you expect to contribute to the Greensboro community as a result of your completion of the Leadership Greensboro program?

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* 15. Is there anything else you'd like to share about yourself that you feel would be important to know during the class selection process?

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* 16. My Leadership Greensboro tuition will be paid by:

Employer

Participant

Other (please specify)

**NOTE: Please review and download commitment and attendance form here.

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* 17. Please Upload signed Participant Commitment & Attendance Policy Document

Please attach the signed and dated form. This form is required and signatures are required by both the applicant and the sponsor. Applicants with incomplete forms will not be considered for selection.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 18. Please upload one file with two typed and signed Letters of Recommendation.

These can be written by the sponsoring manager, chief officer of the organization, and other references familiar with the applicant's leadership. Applicants with incomplete, unsigned letters or applications without at least two recommendation letters will not be considered for selection.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

TUITION ACKNOWLEDGEMENT
Tuition for Leadership Greensboro is $3,100 for Chamber member companies and $3,600 for non-Chamber member companies. Tuition is not due with the application; you will be invoiced upon acceptance. Tuition must be paid by August 31, 2020 to prevent dis-enrollment from the program - No exceptions.

APPLICANT ACKNOWLEDGEMENT
I understand the purposes of the Leadership Greensboro program and if I am selected, I will devote time (as set forth in the Participant Commitment & Attendance Policy) and resources necessary to complete the program. I also affirm that all of the above information in this application is accurate to the best of my knowledge and that this application was completed by me, the applicant.

Please affirm both statements below.

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* 19. By entering my name and today's date, I agree with and affirm both the Tuition Acknowledgement and Applicant Acknowledgement statements above (Enter full name and full date).

The following information is collected in advance for use only after participants are selected for the class. This information is not a consideration in the applicant selection process.

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* 20. Please list any accommodations that may help meet any different physical/mental abilities you have or medical conditions.

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* 21. Please list any dietary specifications/restrictions or food allergies.

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* 22. Emergency Contact's Name and Phone Number (Can list more than one).

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* 23. Thank you for applying to Leadership Greensboro 2022 Class! You will be notified about an application decision in late August. If you have any questions, please contact:

Niketa Greene, Program Director
(336) 387-8325
NGreene@greensboro.org

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* 1. PERSONAL

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* 2. # Years of Residence in Greensboro

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* 3. PROFILE

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* 4. Check All That Apply

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* 5. How did you learn about Leadership Greensboro

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* 6. EMPLOYMENT

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* 7. COMMUNITY INVOLVEMENT

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* 8. EMPLOYMENT HISTORY (2 most recent employers)

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* 9. What do you consider your most important accomplishment in community or civic activities? Why?

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* 10. What do you consider the three most pressing challenges facing Greensboro today? List also a recommendation to meet each of the three challenges.

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* 11. Describe a specific experience where you worked collaboratively with people with differing perspectives than your own. What did you learn about yourself and others from the experience?

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* 12. What do you expect to gain from Leadership Greensboro?

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* 13. How would others in the class benefit from your participation?

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* 14. What do you expect to contribute to the Greensboro community as a result of your completion of the Leadership Greensboro program?

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* 15. Is there anything else you'd like to share about yourself that you feel would be important to know during the class selection process?

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* 16. My Leadership Greensboro tuition will be paid by:

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* 17. Please Upload signed Participant Commitment & Attendance Policy Document

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* 18. Please upload one file with two typed and signed Letters of Recommendation.

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* 19. By entering my name and today's date, I agree with and affirm both the Tuition Acknowledgement and Applicant Acknowledgement statements above (Enter full name and full date).

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* 20. Please list any accommodations that may help meet any different physical/mental abilities you have or medical conditions.

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* 21. Please list any dietary specifications/restrictions or food allergies.

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* 22. Emergency Contact's Name and Phone Number (Can list more than one).

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* 23. Thank you for applying to Leadership Greensboro 2022 Class! You will be notified about an application decision in late August. If you have any questions, please contact:Niketa Greene, Program Director(336) 387-8325NGreene@greensboro.org

* 23. Thank you for applying to Leadership Greensboro 2022 Class! You will be notified about an application decision in late August. If you have any questions, please contact:

Niketa Greene, Program Director
(336) 387-8325
NGreene@greensboro.org