Leadership NEJC Application

First Name *

Last Name *

Cell Phone *

Home Email *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Emergency Contact Name *

Emergency Contact Phone *

LinkedIn (full URL)

Facebook (full URL)

Twitter (handle)

How did you learn about Leadership NEJC? *

How does your background or experience uniquely position you to make a positive contribution to the program? *

What do you hope to gain from your Leadership NEJC experience? Professionally? Personally? *

The following questions are designed to learn more about you and your community involvement. Please provide thoughtful responses in 100 words or less per question.

PROFESSIONAL LIFE

Describe your organization and your role within it. *

What is your general leadership style, and how do you apply this in your current organization? *

What leadership roles do you see yourself in over the next five years? *

PERSONAL LIFE

How do you spend time outside of work? What are your interests or hobbies? *

What topics or issues are you most passionate about? *

COMMUNITY ENGAGEMENT

How are you involved with your community? Describe any volunteer roles you consider significant. *

Elaborate on your contributions or achievements for professional, community or civic involvement? What impact did they have on the populations you served? *

DIVERSITY & INCLUSION

Leadership NEJC Values diversity of all kinds and strives to enhance the program by bringing diverse groups together.

What challenges associated with diversity and inclusion do you see in the community? *

What strategies do you believe could help overcome these challenges? *

If necessary the following documents may be submitted separately by mail or e-mail. However, applications will not be considered until all supporting documents are received.

Resume/CV

Drop your file here or click here to upload

Please upload a copy of your current resume or curriculum vitae. (pdf, doc, docx)

Applicant Commitment Statement

Drop your file here or click here to upload

Please upload the completed and signed commitment page. (pdf, doc, docx)

Letter of Recommendation

Drop your file here or click here to upload

Please upload a signed letter of recommendation. One letter is required, but up to two may be submitted as one file. If possible, one letter should be from the applicant's direct supervisor. (pdf, doc, docx)

Attendance Policy

The Leadership NEJC program consists of 9 full-day sessions from January through May, plus one class community service project and the graduation luncheon. Successful outcomes depend on your commitment to the program and your fellow classmates. Participants must complete no less than 80% of total program hours (8 out of 10 sessions) and complete at least one class community service project in order to be eligible for graduation. In order to earn the NEJC Chamber Leadership Certificate, participants must be eligible for graduation and have completed all hours of required JCCC coursework. When available, continuing education units (CEUs) may only be earned for completed seat hours. There are no opportunities to make up missed sessions or workshops. *

I have read and understand the attendance policy. And I agree to the terms should I be accepted to the program.

Tuition & Refund Policy

The tuition investment for Leadership NEJC is $1,100 for members and $1,400 for nonmembers. The investment covers all program materials, lunches, snacks, and any required group transportation. Individual transportation to and from sessions and workshops will not be reimbursed. Tuition is due at the time of acceptance and no later than 30 days prior to the first session date. Program tuition is for the application year, only. Tuition is not transferable but may be refundable* upon written notice of intent to withdraw received up to 30 days prior to the first session date. The refund schedule is as follows: ● 100% refund for written notice received 45 days prior to the first session date. ● 50% refund for written notice received between 45 and 30 days prior to the first session date. ● Tuition is non-refundable if written notice is received after 30 days prior to the first session date. *

I have read and understand the tuition & refund policy. And I agree to the terms should I be accepted to the program.

PROGRAM APPLICATION

BEFORE YOU BEGIN

PROFESSIONAL LIFE

PERSONAL LIFE

COMMUNITY ENGAGEMENT

DIVERSITY & INCLUSION

Attendance Policy

Tuition & Refund Policy