Leadership Simpsonville 2026 - Class Application

APPLICANT CONTACT INFORMATION

Applicant Name

First Name *

Last Name *

Employer/Company Name *

Mailing Address

Address Line 1

Address Line 2

City

Zip/Postal Code

Work Phone *

Mobile Phone *

Work Email Address *

Personal Email Address

CHAMBER MEMBERSHIP INFORMATION

What is your membership status with the Simpsonville Chamber?

I have been a chamber member for <3 years. I have been a chamber member for >3 years. I am not yet a chamber member.

Membership is required for participation in the Leadership Simpsonville program.

EMPLOYER/BUSINESS INFORMATION

Applicant's Employer/Business *

Applicant's Job Title *

Length of Current Employment (How long have you been in your current role?) *

Name of Supervisor or Manager *

Supervisor/Manager's Email *

I have the support of my employer to participate fully in the Leadership Simpsonville program in 2026. If self-employed, choose "yes." *

Yes - my employer supports my participation. No - my employer does not support my participation.

APPLICANT'S EDUCATION & WORK HISTORY

Upload your current resume. Please submit in the form of a PDF. *

APPLICANT ESSAY QUESTIONS

List any professional/business organizations in which you have been an active participant within the last five years. Include dates of membership and service, offices and positions, and special recognitions. *

What would you consider to be your best personal achievement, either personal or professional, to date? *

What do you hope to gain from the Leadership Simpsonville program? *

What do you hope to contribute to the Leadership Simpsonville program? *

Identify two challenges faced by the Simpsonville community. Describe how you would address them, either individually or alongside your Leadership Simpsonville classmates. Assume that finances are not a factor. *

APPLICANT AGREEMENT SECTION

Read through each of these statements carefully and click on the appropriate box to indicate your acceptance and agreement.

In order graduate from the program, I understand that I must adhere to the program’s strict attendance policy. Participants are required to attend all monthly sessions during the program year. Absences could impact a class member’s graduation status; and an absence requires full approval from chamber staff. I understand that I will forfeit my tuition paid and any scholarships received. *

I agree.

I will meet all other program requirements including group project participation, a police or fire department ride-along, and city council meeting attendance. Furthermore, I understand that completion of these requirements will require time outside of the monthly class sessions. *

I agree.

FINANCIAL AGREEMENT SECTION

Read through each of these statements carefully and click on the appropriate box to indicate your acceptance and agreement. Invoices for tuition will be processed for all accepted applicants.

Will you be applying for a tuition scholarship? *

Yes - I will apply for a scholarship. No - I will not apply for a scholarship.

Tuition for Leadership Simpsonville is $975 for all applicants. *

I agree.

Tuition for Leadership Simpsonville shall be due by January 15, 2026 unless other arrangements have been made. Tuition payments can be made via cash, check, VISA, or MasterCard directly to the applicant’s primary Chamber of Commerce. *

I agree.

Late payment of the tuition forfeits program candidacy and placement will be offered to the next qualified applicant. *

I agree.

Applicant Signature - by typing your full name in the box below, you acknowledge that you have read, understand, and agree to abide by all program requirements if you are admitted into the LS program. You furthermore understand that once you are accepted and the tuition/application fee are paid, there are no refunds (full or partial).

Leadership Simpsonville 2026 - Class Application

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