Leadership Golden Strip - Class 2 Application

Thank you for your interest in being part of Leadership Golden Strip's Class 2! In order to apply for this dynamic leadership program, complete all fields of the application below. The full packet of program information can be found here: https://simpsonvilleareachamberofc1.box.com/s/fe6y66lr1tsbxd3gepxq6z0ekbt30mqt
APPLICANT CONTACT INFORMATION
Applicant Name
Physical Address
Mailing Address (if different from above)
CHAMBER MEMBERSHIP INFORMATION
For LGS, I consider my primary Chamber membership to be with the:
If your business is a member of more than one of the Golden Strip chambers, choose the one with which you are MOST engaged or the one you consider to be your primary membership. Note that membership with one of the three Chambers is a requirement for the LGS program.
EMPLOYER/BUSINESS INFORMATION
I have the support of my employer to participate fully in the Leadership Golden Strip program. *
APPLICANT'S EDUCATION HISTORY
APPLICANT ESSAY QUESTIONS
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, which applies to the Orientation Session and all other monthly sessions. If I miss more than one scheduled class session (excused or not), I may be released from the class and may not graduate. I understand that I will forfeit my tuition paid and any scholarships received. *
I will meet all other program requirements including Group Project Participation, a Police or Fire Department Ride-Along, and City or County Council Meeting Attendance. Furthermore, I understand that completion of these requirements will require time outside of the monthly class sessions. *
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? *
Tuition for Leadership Golden Strip is $750. An Early-Bird Applicant discount of $150 is available for applicants that submit their completed application by May 31, 2019. Additionally, an Application Fee of $25 will apply for all applicants. *
Tuition for Leadership Golden Strip shall be paid no later than August 9, 2019, unless other arrangements have been made. Payments can be made via cash, check, VISA, or MasterCard directly to the applicant’s primary Chamber of Commerce. *
Late payment of the tuition forfeits program candidacy and placement will be offered to the next qualified applicant. *