Leadership Portage County (LPC)
Class of 2022-23 Employer Consent Form

Dear Supervisor,
Your employee has chosen to participate in Leadership Portage County! We are excited for their involvement. Please review the program and tuition requirements, as well as expectations and commitments found in the application and discuss them with your employee to minimize schedule conflicts and maximize their opportunities in the program.

If you have any questions, please contact Kayla at KaylaR@portagecountybiz.com or 715-344-1940. Thank you for supporting Leadership Portage County!

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* Contact Details

LPC Applicant's Name:

Employer:

Supervisor's Name:

Supervisor's Phone:

Supervisor's Email:

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* 1. Why do you think your employee will be a good candidate for participation in LPC?

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* 2. As an employer, what are your short- and long-term expectations of sending your employee to LPC?

Consent
I understand the purpose of the Leadership Portage County program and that attendance, participation and a willingness to experience new activities are key to successful completion. I agree to support the above named employee by letting them devote the time and resources necessary to complete all components of the program. I realize that if the employee misses more than two sessions of this program, they may be asked to withdraw without reimbursement of tuition dollars.

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* I understand the above commitments and agree to be bound by them in signing this application.

Yes