Scholarship Request Form

A limited amount of funds are available to Leadership Santa Rosa participants that are in need of tuition assistance. A criterion for scholarship is a demonstrated financial hardship that would prevent a selected candidate from participating in the program. Award amounts are based on the number of requests received and the amount of funds available each year by the LSR Alumni Association (LSRAA). The maximum awarded is $775, and the LSRAA must approve all scholarship arrangements.

Application for tuition assistance is not considered in the selection process and is confidential. Acceptance into the program does not mean a scholarship has been awarded.

Candidates employed by large, private-sector companies are typically not eligible for assistance. Candidates who are employed in the non-profit, public sector, or are self-employed are given priority for tuition assistance. Should you ask to be considered for assistance, both you and your employer must complete the Scholarship Request form in addition to your Leadership Santa Rosa application.
Tuition

Tuition for Chamber members is $2,300; non-member tuition is $2,900. An employer, other sponsor, or the participant may pay the tuition. Tuition may be paid in accordance with one of the payment plans outlined below. Scholarship applicants will be notified of the status of their request by July 15, 2019.

PLAN A: PAY IN FULL
Due: August 29, 2019 | Member: $2,300 | Non-member: $2,900

PLAN B : PAYMENT PLAN
Due: August 29, 2019 | Member: $775 | Non-member: $975
Due: November 4, 2019 | Member: $775 | Non-member: $975
Due: February 10, 2020 | Member: $775 | Non-member: $975

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* Your name

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* Employer

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* Work address (including city, state and zip)

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* Work phone

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* Email

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* Amount you are contributing toward tuition

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* Amount your employer is contributing toward tuition

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* Amount requested (Maximum scholarship is $775)

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* Please give a brief statement of your financial need for tuition assistance:

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* Applicant Signature (Type Name)

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* Date

Thank You

Thank you for your interest in the Leadership Santa Rosa program and for your care in completing the application. If selected for an interview, they will be conducted the weeks of May 13, 20 & 27. All applicants will be notified of their status by June 21, 2019. Scholarship applicants will be notified of the status of their request by July 15, 2019.

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