Leadership Menomonie Application 2024

2024 - 2025 Schedule

Applications for the 2024 - 2025 Leadership Menomonie program are due August 1, 2024 Class Schedule: August 14 -15 - Leadership Retreat September 19 - Ag, Environment & Natural Resources October 17 – Manufacturing November 21 –Education December 19 – Professional Development January 16 – Team Community Project Work Day February 20 – Business & Industry March 20 – Arts, Heritage & Tourism April 17 – Health & Human Services May 8 – Government & Law (note 2nd Thursday) June 19 – Graduation Ceremony

First Name *

Last Name *

Please include your business address above.

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Chamber Member / Present Employer *

Employer Phone *

Sponsoring Organization (if applicable)

Participant Email *

Job Description *

How long have you lived / worked in the area? *

How did you learn about the program *

Employer Newsletter Other

Please list, in order of importance to you, up to three community, civic, professional, business, religious, social, athletic, and other organizations of which you are or have been a member. *

Why are you interested in participating in Leadership Menomonie? *

Please identify two issues that you and/or your employer feel are critical to Dunn County and supporting information and/or ideas to address them.. *

What specific community issues or areas of interest do you hope Leadership Menomonie addresses? *

Please explain any leadership training you have participated in.

Tuition

Tuition for the Leadership Menomonie program is $1,250 for each participant. Tuition covers the Leadership Retreat and ALL program costs including meals, all transportation, awards and materials. Payment of tuition can be made at time of application or prior to August 1, 2024. Credit cards are accepted.

Tuition Assistance

A limited number of partial scholarships may be available to individuals or organizations otherwise unable to provide tuition. If you need financial assistance, please include a separate letter with this application requesting a partial scholarship and indicate the amount needed and why. All scholarship requests are to be submitted to the Menomonie Area Chamber & Visitor Center by July 10, 2024.

Committment

Leadership Menomonie consists of a beginning leadership retreat and monthly leadership days from September through May and a closing event in June. In addition, each class member is expected to complete a team project under the representation of the Chamber of Commerce. The Workforce and Education Committee reserves the right to dismiss any participant from the program whom has missed two or more sessions. Attendance will be taken at each session. Please consider availability if you decide to participate in this year’s class. If you apply and later find that you are unable to participate, please notify the Chamber immediately so the Committee can choose an alternate.

Applicant Signature *

I understand the purposes of the Leadership Menomonie program and if I am selected I agree to commit the time and energy necessary to complete the program. I understand that, barring an emergency, my attendance is required and failure to comply may result in my dismissal from the class without a tuition refund.

Date *

Format: M/d/yyyy

Supervisor Name

First Name *

Last Name *

Supervisor Email *

This application has the approval of this organization and the applicant has our support including the time required to participate in the program.

Yes Not at this time

Unisex T-shirt Size *

Small Medium Large X-Large XX-Large XXX-Large

Leadership Menomonie Application 2024 - 2025

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