Completed applications are due by Friday, March 27, 2020. Incomplete submissions will not be accepted.

If multiple applicants from the same company are received, Advance will accept a maximum of three (3) participants.

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Company

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* 5. Preferred Email Address

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* 6. Preferred Phone Number

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* 7. Work Address

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* 8. City

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* 9. State

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* 10. Zip Code

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* 11. Were you referred by someone? If so, by whom?

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* 12. Are you a veteran or military spouse? (Scholarships MAY be available)

LEAD San Diego seeks a class that is reflective of the cultural diversity of the San Diego region. Accordingly, it is important to identify constituents from various demographic groups. Your responses to the following will assist our selection committee in addressing this class mix; however, your response is OPTIONAL. If appropriate, more than one box may be checked.

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* 13. I consider myself to be:

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* 14. Age

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* 15. Check the ONE category that best describes your current employer:

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* 16. Are you or your company of member of the San Diego Regional Chamber of Commerce?

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* 17. Highest level of education obtained and field of study:

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* 18. Please list the number of years of experience you have managing a team that directly reported to you:

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* 19. Please list any leadership roles you hold, either in your current position or in the community:

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* 20. Please summarize your management experience, if any:

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* 21. What do you hope to gain from participating in Advance?

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* 22. What additional steps have you taken to advance your career?

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* 23. Where do you see yourself in five (5) years?

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* 24. Where do you see yourself in ten (10) years?

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* 25. Please describe any additional qualifications:

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* 26. Please describe any volunteer commitments:

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* 27. How did you hear about Advance?

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* 28. Please attach a PDF of your cover letter

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* 29. Please attach a PDF of your resume

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* 30. Please attach a PDF of your professional bio

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* 31. Please attach a photo or headshot of yourself

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