Leadership Golden Strip - Class 3 Application (2023)

APPLICANT CONTACT INFORMATION

Applicant Name

First Name *

Last Name *

Employer/Company Name *

Physical Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Mailing Address (if different from above)

Address Line 1

Address Line 2

City

Zip/Postal Code

Work Phone *

Mobile Phone *

Work Email Address *

Personal Email Address

CHAMBER MEMBERSHIP INFORMATION

For LGS, I consider my primary Chamber membership to be with the:

Fountain Inn Chamber of Commerce Greater Mauldin Chamber of Commerce Simpsonville Area Chamber of Commerce

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

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 Golden Strip program. *

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 Golden Strip program? *

What do you hope to contribute to the Leadership Golden Strip program? *

Identify two challenges faced by the Golden Strip community. Describe how you would address them, either individually or alongside your Leadership Golden Strip 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 LGS 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 or county 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 Golden Strip is $750 for all applicants. *

I agree.

Tuition for Leadership Golden Strip shall be due by January 13, 2023 unless other arrangements have been made. All applicants will be notified of program acceptance decisions no later than December 30, 2022. 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 LGS program. You furthermore understand that once you are accepted and the tuition/application fee are paid, there are no refunds (full or partial).

Leadership Golden Strip - Class 3 Application (2023)

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