Class of 2025 Leadership Alamance Application

2024-2025 Leadership Alamance Application

Selection Criteria
The Leadership Alamance Selection Committee seeks to identify those individuals most likely to apply their leadership capacities for the long-term benefit of Alamance County. Participants are selected based on the information provided in their application. We recommend that applicants start this process early, understand the selection criteria, highlight their relevant experiences, craft a compelling narrative, request a strong letter of support, follow instructions carefully, be authentic, seek feedback, demonstrate commitment, and stay positive.
Program Requirements
Please remember, Leadership Alamance requires a serious commitment of time and candidates must have the full support of the organization they represent. Attendance at the opening retreat held on September 19 and 20 is REQUIRED to participate in the program. A full program calendar of projected dates for the Class of 2025 can be found on the Alamance Chamber’s website. Please review the program calendar for conflicting dates prior to submitting your application. Those who are unable to make the entire time commitment should not apply.
Instructions
• Please complete each section fully.
• Please submit a separate letter of recommendation as described in the application to logan@alamancechamber.com.
• Do not include tuition payment with the application.
• Applicants requesting tuition assistance must complete the Leadership Alamance Tuition Assistance Request Form and submit it in addition to their Leadership Alamance Application.
• Applications must be signed by the applicant.
• Application and tuition assistance request deadline is June 28, 2024. Applicants will be notified of their status by August 12, 2024.
Personal Data
Name*
First Last
Name you prefer to be called:
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone*
Preferred Contact Email*
Enter Email Confirm Email
Hobbies, interests, and special talents:*
Emergency Contact Name*
Relationship*
Emergency Contact Cell Phone*
To help us ensure a safe and pleasant experience, please note any dietary needs, medical restrictions, or physical limitations we need to take into consideration:*
Are you a previous applicant?*
- Yes
- No
Have you participated in another community leadership program?*
- Yes
- No
If so, name of program and year completed:
Optional Demographic Data
Gender Identity
Race/Ethnicity
Date of Birth
Sexual Orientation
Disability Status
Education History
High School Name and Location*
Name of colleges/universities and major:
Employment Information
Employer*
Date of Employment*
MM slash DD slash YYYY
Job Title*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Name of Sponsor*
This is the person supporting your participation in the program (i.e. CEO, Senior Executive, or Supervising Executive) If you are a business owner or CEO, insert your name here.
Signature*
My employer understands the goals and objectives of the Leadership Alamance program and offers their full support for me to invest the time required to participate in Leadership Alamance.
Employment History*
List previous employment in reverse chronological order (include employer, position and dates):
Open-Ended Questions
Please answer each question below thoughtfully and thoroughly.
Describe your involvement in community organizations and initiatives. Outline any formal or informal leadership roles you have held within these organizations or in other contexts.*
The Chamber is committed to diversity, equity, inclusion, and belonging (DEIB) and Leadership Alamance is designed to cultivate inclusive leadership by educating current and emerging leaders about the diverse fabric of Alamance County. Please provide examples of how you have demonstrated a commitment to promoting DEIB in your personal or professional life and explain why DEIB principles are important for effective leadership and community development.*
Please visit https://www.alamancechamber.com/diversity-equity-inclusion-dei/ to view the Alamance Chamber's official statement for Diversity, Equity, Inclusion, & Belonging.
Describe your motivations for applying to the Leadership Alamance program. Outline your goals and expectations for what you hope to gain from participating in the program.*
What is your proudest career achievement so far?*
In your judgement, what are the three most pressing challenges facing Alamance County today and what are your recommendations for meeting these challenges?*
Reference and Letter of Recommendation
Please list one person, other than your sponsor, who is knowledgeable about your leadership performance and potential. IN ADDITION TO THIS APPLICATION YOU MUST SUBMIT A LETTER OF RECOMMENDATION FROM YOUR SPONSOR OR FROM YOUR REFERENCE. Letters should be emailed directly to logan@alamancechamber.com. Assistance in requesting letters of recommendation is available upon request.
Name*
First Last
Job Title*
Employer*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Email*
Signature*
I hereby give Leadership Alamance the right to make inquiries regarding my application and references.
Tuition
Tuition for Leadership Alamance is $1,300 for Chamber Investors and $1,600 for non-investors. Please contact the Chamber office if there is any question about your chamber membership. Tuition covers all program costs including the opening and closing retreats, lunches, transportation from the program's point of origin, and graduation. Upon invoicing, payment may be made by check, MasterCard or Visa. Payment is due by August 30, 2024. If an applicant cancels prior to the opening retreat, one-half of the full tuition will be forfeited. If an applicant cancels after the retreat, the entire tuition will be forfeited. Applicants requesting tuition assistance must complete a separate Tuition Assistance Request Form.
If accepted to the Leadership Alamance program, my tuition will be paid by:*
- Employer
- Participant
- Other
If you selected other, please specify:
Bill to:*
Please insert the name, business, and address for where the invoice should be sent.
First Last
Business Name*
Business Address*
Street Address Address Line 2 City State ZIP Code
Commitment
To successfully complete the Leadership Alamance program, a participant is expected to attend all sessions. Absences are excused with Steering Committee approval only in the event of emergencies or extenuating circumstances. (Please note business conflicts are not considered extenuating circumstances.) Only one excused absence is allowed. A participant who is unable to attend all sessions may be asked to withdraw from the program and no portion of the tuition will be refunded. Because of the time commitment, it is important that an applicant have the full support of his/her employer to attend all sessions. I understand the goals and objectives as well as the attendance, payment and cancellation requirements of the Leadership Alamance program. I am willing to participate fully and devote the time to this program as described.
Signature*
Release Form
In consideration of agreeing to participate in the Leadership Alamance program, the Participant hereby releases the (i) Alamance Chamber (the "Chamber"), its agents, officers, servants and employees and (ii) any third parties providing facilities or work space access to the Participant while engaged in the Leadership Alamance program, from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury that may be sustained by the Participant or any property of the Participant while engaged in or under the control or supervision of the Chamber during the course of the Leadership Alamance program. The Participant is duly aware of the risk and hazards inherent in participating in physical activities associated with trust and team building activities of Leadership Alamance and is also aware of the potential risk and dangers inherent in workplaces and other locations the Participant may visit during the course of the Leadership Alamance program. The Participant hereby voluntarily assumes all risk of loss, damage or injury that may be sustained by him or her or any property belonging to or in the possession of the Participant while engaged in the Leadership Alamance program. Furthermore, to the extent that negligent or reckless actions of the Participant may cause damage to the workplace or facilities of third parties assisting with the Leadership Alamance program, Participant agrees to indemnify and hold harmless Alamance Chamber from liability for such damage or injuries to third practices attributable to the negligent, reckless and/or intentional acts of the Participant.
Signature*
Photograph and Media Release
I understand that photographs and video may be taken of the participants during the course of the Leadership Alamance program. I consent to such photographing and videotaping for the use by Leadership Alamance, the Chamber and any third party program partners without compensation, of my name, image, likeness, whether in film, photographs or any other media for the promotion by the Chamber of Leadership Alamance and other activities of the Chamber.
Signature*
I will submit a letter of recommendation as described above to logan@alamancechamber.com prior to the application deadline.*
- Yes

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Class of 2025 Leadership Alamance Application

2024-2025 Leadership Alamance Application

Selection Criteria

Program Requirements

Instructions

Personal Data

Optional Demographic Data

Education History

Employment Information

Open-Ended Questions

Reference and Letter of Recommendation

Tuition

Commitment

Release Form

Photograph and Media Release

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