Centurions | Apex 2026 Application Survey

1.Applicant Information(Required.)

First Name

Last Name

Preferred Name

Home Address

City

State

ZIP Code

Cell Phone

Personal Email Address

2.By submitting the application to the Centurions Leadership Program, you acknowledge the following program requirements and commitments:

My employer is a member in good standing of the Greater Kansas City Chamber of Commerce. If my employer is not currently a member of the Chamber, I understand membership must be obtained prior to the application deadline or to further participate in Centurions programming. I fully understand I must maintain continued employment by a KC Chamber member company in good standing during participation as an active Centurion, as well as maintain full-time residency in the Greater Kansas City area during participation as an active Centurion.

I fully understand that attendance at the annual Retreat on September 21-23, 2026 and September 2027 (dates TBA), including overnight stays, is required.

I fully understand that attendance at full-day Task Force meetings held the fourth Friday from October through June is required and missing any portion of three Task Force meetings will require me to withdraw from the program. Please note that Task Forces land on the third Thursday in the event of a holiday (e.g. November, December).

I fully understand the tuition requirements for the two-year duration of the Centurions Leadership Program and agree to fulfill those requirements if I am selected to participate in the program. Payment of annual tuition fees by the participating Centurion or employing company are due prior to each program year's Retreat.

I fully understand I am required to complete at least twenty (20) hours of Centurions-supported community service projects per program year, including three (3) hours of active participation in the work of the Legacy Project during each program year.

I fully understand I am required to actively participate in the work of the Committee and Task Force to which I am assigned during each program year.

I fully understand violating the Centurions Code of Conduct may result in removal from the program.

Furthermore, I certify that this application is my own original work and is complete and accurate to the best of my knowledge and ability.

(Required.)

I acknowledge and will adhere to these program requirements and commitments.

Current Progress,

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