Leadership Gilmer Application

Before starting your application, please read the Leadership Gilmer Program Overview

Policies and Requirements

Application Deadline: Friday, January 23, by 5:00 PM.
Tuition: Tuition is $500 for Chamber members (paid by either employer or applicant).
Applications will be deemed incomplete if questions from the application are not answered.
Applicants must not be an announced candidate for public office at the time of application to the program.
Applicants must have their employer’s support for participation due to time involved to complete the program.
Participants of Leadership Gilmer 2026 are expected to attend all scheduled meetings of the program. Participants who miss more 2 days of the program will be dropped from the program. There will be no appeals process or refund of the program fee.

2026 Leadership Gilmer Application

Part I: Personal Information

Name(Required)

First Last

Preferred Name for Nametag(Required)

First Last

Work Phone(Required)

Cell Phone(Required)

Home/Personal Email(Required)

Business/Organization Email(Required)

Preferred Mailing Address(Required)

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

Home Address(Required)

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

Employer(Required)

Job Title(Required)

Employer's Phone Number(Required)

Business/Organization Address(Required)

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

Shirt Size(Required)

Men's or Women's/ S, M, L, XL, XXL, etc

Part II: Agreement

Applicant Signature(Required)

First Last

Typing your name in the suggested fields acts as agreeing to the commitment policy.

Date(Required)

Employer Signature(Required)

First Last

Typing your name in the suggested fields acts as agreeing to the commitment policy.

Date(Required)

Part III: Questions

1. Current Employment: Length of Service with present business/organization. Briefly describe your responsibilities, i.e. are you a business owner? How many employees do you supervise? Etc.(Required)

2. What do you consider your highest responsibility, skill or career achievement, so far?(Required)

3. Education (college, trade, etc.) List dates attended and degrees obtained.(Required)

4. Organizations and Activities. List community, civic, professional, business, religious, social, athletic, and other organizations of which you have been a member, in order of their value to you, during the past five years. How many hours per month are currently committed to community, civic, professional, and other organizations, and activities?(Required)

5. What do you hope to gain from and/or contribute through your involvement in Leadership Gilmer?(Required)

6. In your judgment, what are three pressing challenges facing our community today?(Required)

7. What qualities do you possess that make you a current or potentially effective leader?(Required)

8. What other things should the selection committee know about you to make an intelligent decision about your application for the Leadership Gilmer program?(Required)

9. Name two people in this community whom the selection committee could contact for additional information about you. Please list their names, business, title, address and phone.(Required)

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