Leadership Menomonie Application 2023 -2024

Each monthly gathering focuses on a different community segment; from human services to arts and the economy, participants are immersed in a half-day or full-day virtual or traveling class that includes guest speakers, hands-on experiences, tours and relationship building. The goal of each class day is to challenge thinking and inspire you to get involved in your community.

At the start of this program, participants are placed into small groups and are charged with the task of identifying an issue or program that needs attention. These groups then plan and execute sustainable community projects.

2023 - 2024 Schedule

Applications for the 2023 - 2024 Leadership Menomonie program are due August 1, 2023 Class Schedule: August 16 -17 - Overnight Retreat at Heartwood Resort & Conference Center September 21 - Ag, Environment & Natural Resources October 19 – Manufacturing November – Independent Community Service Work Day December 21 – Professional Development / Community Service January 18 – Education February 15 – Business & Industry March 21 – Arts, Heritage & Tourism April 18 – Health & Human Services *May 2 – Government & Law * June 20 – Graduation Ceremony *Please note 1st Thursday of May

First Name *

Last Name *

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 $1,125 for all participants. Tuition covers 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, 2023. 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.

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

Employer Approval Signature *

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

Date *

Format: M/d/yyyy

Supervisor Name

First Name *

Last Name *

Supervisor Email *

T-shirt Size *

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

Leadership Menomonie Application 2023 -2024

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