Leadership Ashland Application 2023-24 Class - Ashland Area Chamber of Commerce, OH

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 *

Address Block

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Phone number *
Please provide the phone number where you prefer to be reached.

E-mail *

How long have you lived and/or worked in Ashland? *

How long do you anticipate being in the Ashland area? *

Professional Reference - Sponsoring Organization *
Please provide the name and contact information of someone you work with.

Personal Reference - Someone familiar with your community involvement *
Please provide the name and contact information of someone who is familiar with your community involvement.

Employer *

Employer Address *

Position/Title *

How long have you been in this position? *

Community boards, professional affiliations, committees or groups in which you have been active and any offices held: *

Principle hobbies and recreational interests: *

Awards, Honors and Special Recognition received: *

EDUCATION: Degrees received, schools attended, fields of study, professional institutes or training programs: *

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. *

What issues facing Ashland County and its communities would you like to explore? *

What kinds of county or community boards, committees or groups would you like to join in the future? *

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? *

Tuition: Who will be responsible for your Leadership Ashland Tuition? *

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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