2023-2024 Leadership Sanford

Contact Details

Name(Required)

First Last

Company Name

Your role at your Company

Nominated for this program by:

Email(Required)

Enter Email Confirm Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant Questionnaire

Age(Required)

How did you hear about this program?(Required)

List professional, community, civic or other organizations you are involved with.(Required)

List professional awards and certifications if applicable.

If you are not active in professional organizations, etc. or do not currently have awards/certifications, how can this program help you?(Required)

What specific skills do you hope to gain from this program? Are there specific topics you are interested in?(Required)

Why should you be selected to participate in the program?(Required)

Please describe the three most critical challenges facing the Lee County community today. Briefly discuss the role of community leadership in addressing these challenges.(Required)

Payment Details

Leadership Tuition(Required)

$1,100 for Chamber Members

$1,350 for Non-Members

You or your employer/sponsor will be invoiced for the total amount of the program and payment must be received by September 1, 2023. You will receive an emailed invoice upon receipt of your application to pay by either check or credit card. This fee covers all expenses including meals, program materials, overnight retreat and graduation.

Total

Payment Options

Signature of Applicant(Required)

First Last

Signature of Employer(Required)

First Last