Community Leadership Academy

2023-2024
Community Leadership Academy Application

 

Mission: To provide challenge and opportunity for new, emerging and potential community leaders from the Marinette and Menominee region, to strengthen their community leadership skills, increase their understanding of our community needs and offerings, and to empower and encourage them to assume leadership roles in helping move our communities forward.

 

CONFIDENTIAL APPLICATION

 

Name:_________________________________________ Title:________________________

 

Business Address:___________________________________________________________

 

Business Phone:_________________________________

 

E-mail Address:__________________________________

 

Home Address:______________________________________________________________

 

Home Phone/Cell:_________________________________

 

Please include a resume that highlights the following qualifying categories and personal information about your credentials and experiences:

Education

·         High school, college, trade and/or any specialized training;

·         Any special recognition or honors for academic and/or leadership achievement;

Employment

·         Present employer, job title and responsibilities, and date of hire;

·         Previous employers, job titles and responsibilities and employment dates;

Organizations & Activities

·         List organizations of which you are, or have been a member; membership dates and positions held;

References

·         Include name, title, and business address and phone number;

 

How many years have you lived/worked in the Marinette, Menominee and/or Peshtigo Area?

 

Do you have the full support of your employer for the time required to participate in the Community Leadership Academy?

___Yes  ___No

 

Do you understand that attendance at all class sessions is required and necessary to graduate?

___Yes  ___No

 

How much time each month do you commit to community, civic, professional and other organizations and activities?

 

Hours on your own time: ________________Hours on employer’s time:_______________

 

 

APPLICANT'S STATEMENT (please use additional pages, if necessary)

What are the reasons you think you would be a good candidate for the Community Leadership Academy?

 

 

 

How do you think your expertise & experiences would contribute to the program?

 

 

 

 

In your opinion, what is the most significant problem facing our region today, and what are you willing to personally contribute to help work toward solutions?

 

 

 

 

What would you hope to gain by participating in the Community Leadership Academy?

 

 

 

TUITION AND FUNDING:

Tuition for the Academy is $700 for Marinette Menominee Area Chamber of Commerce members and $850 for non-members.  It is payable at the time of acceptance into the program.  Please state below how you plan to pay your tuition (e.g., 50% sponsor - 50% personal).

____________________________________________________________________________

 

Partial tuition scholarships will be available to a limited number of non-profit and small business applicants (5 employees or less).  If you wish to apply for assistance, please request an amount and your reasons for the request (please use additional sheet if needed).

_________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________________

 

Tuition payment should be made payable to the Marinette Menominee Area Chamber of Commerce and mailed to: 601 Marinette Ave, Marinette, WI 54143.  All applications are subject to confidential evaluation. Since the program has a limited number of participants, if you are not selected for the current program, you are encouraged to apply again next year.

 

 

___________________________________________                                   ____________________________________

Applicant Signature                                                                         Date Submitted

 

 

DEADLINE FOR APPLICATION: Friday, August 18th, 2023

 

For additional information, please contact:

Marinette Menominee Area Chamber of Commerce:

Jacqueline Boudreau, Executive Director/CEO

601 Marinette Ave

Marinette, WI  54143

(715) 735-6681, ext 203

E-mail – jacqueline.boudreau@mandmchamber.com