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Leadership Ashland Application 2023-24 Class
We are now taking applications for the 2023-24 Class of Leadership Ashland. If you are interested in participating, please submit your application as soon as possible. This class will fill up quickly!
Name
First Name
*
Last Name
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Address Block
Address Line 1
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Address Line 2
City
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State
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Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
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Phone number
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Please provide the phone number where you prefer to be reached.
E-mail
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How long have you lived and/or worked in Ashland?
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How long do you anticipate being in the Ashland area?
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Professional Reference - Sponsoring Organization
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Please provide the name and contact information of someone you work with.
Personal Reference - Someone familiar with your community involvement
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Please provide the name and contact information of someone who is familiar with your community involvement.
Employer
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Employer Address
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Position/Title
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How long have you been in this position?
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Community boards, professional affiliations, committees or groups in which you have been active and any offices held:
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Principle hobbies and recreational interests:
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Awards, Honors and Special Recognition received:
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EDUCATION: Degrees received, schools attended, fields of study, professional institutes or training programs:
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Give a brief statement of your reason for desiring to participate in the Leadership Ashland program. Explain what you feel you can contribute to the program and to the county and its communities.
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What issues facing Ashland County and its communities would you like to explore?
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What kinds of county or community boards, committees or groups would you like to join in the future?
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To graduate from Leadership Ashland, participants must meet these attendance requirements: Opening conference and retreat in September Planning sessions (as scheduled by team members) One full weekday per month (October through June) Graduation Ceremony (at conclusion of June program day) Maximum of two days absences from program functions (late arrivals or early departures may constitute ½ day absence) Are there any of these time commitments you cannot meet?
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Select option...
Yes
No
Tuition: Who will be responsible for your Leadership Ashland Tuition?
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By checking yes below, I understand that I must be accepted into the Upcoming Leadership Ashland Class, and receive confirmation as such, before attending. Submission of this application does not guarantee participation in the Program.
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Select option...
Yes
No