Leadership Gilmer Application

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

General Info

Name(Required)

First Last

Birthday(Required)

Phone

Email(Required)

Home Address(Required)

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

Business/Organization(Required)

Business Address(Required)

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

Business Phone

Job Function/Title(Required)

Civic, professional, or volunteer activities(Required)

Please answer the following questions.

What do you believe you could gain by participating in Leadership Gilmer?(Required)

How would you use your leadership training to benefit the community?(Required)

Have you participated in a formal leadership development program in the past? If yes, where, when, and please give the program name.(Required)

Signature

Being selected to participate in Leadership Gilmer is an honor. With this honor comes an obligation to be present for each class and activity. Successful completion of the program requires participants to be punctual and to attend each class. Anyone missing more than one class may not be eligible for graduation. Please confirm your availability on the class dates and sign the Applicant Commitment Agreement below. Those whose participation is sponsored by their employer will be required to obtain supervisor signatures ensuring management's support of the attendance policies of this program.(Required)

I agree to the commitment policy.

I have read and understand the obligations and time commitments expected of me to participate in and graduate from the Leadership Gilmer 2024 Program. In the event of an emergency or other unavoidable circumstance, I will discuss my absence with the appropriate LG representative

Applicant Name(Required)

Applicant Signature(Required)

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