Application: Masters Class 2021

The Masters Class is a 3 session experience, with a 4th session class reunion the year following graduation.

The class is limited to 24 participants.
Tuition is $3000, limited scholarships are available.

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* 1. First Name

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* 2. Last Name

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* 3. Contact information:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. What year did you graduate from Leadership Montana?

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* 5. Current Organization:

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* 6. Type of Organization:

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* 7. Current Job Title:

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* 8. How have you applied the tools, insights, and lessons learned from your Leadership Montana experience in your ongoing leadership journey?

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* 9. What specific skills or knowledge do you hope to gain from a second Leadership Montana experience?

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* 10. What contributions do you hope to make to this experience?

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* 11. Have you served in public or political office?

Yes

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* 12. If you answered "YES" to the question above, please explain here:

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* 13. Your success in this experience and any training is dependent on support and commitment from your supervisor/employer/sponsor/partner. This person is part of your accountability for the growth and change of your experience in the program. Who are you accountable to for this experience?

Name(s)

Role/Relationship

E-mail address:

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* 14. Any participant missing more than one session for whatever reason may be asked to withdraw from the program with no portion of the tuition refunded. Missing any session or portion of a session will detract from the experience for both you and your classmates.

Session dates:
November 10-13, 2020. This seesion convenes at 4pm on November 10.
February 3-5, 2021. Session begins at 8am on February 3.
April 28-31, 2021. Session begins at 8am on April 28.

At this point, will you be missing any days of our class sessions? If so, what dates will you be absent?

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* 15. Do you need scholarship support?

Yes

Comments

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* 16. Anything else we should know?

Questions? Please contact us.
Jennifer Davis, Alumni Relations Manager - jen@leadershipmontana.org
406-461-6642

Chantel Schieffer, President/CEO - chantel@leadershipmontana.org

406-577-2727

PO Box 5155

Bozeman, MT 59717