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2023 Heritage Program Application

This application will be used to select participants for the Heritage Program Class of 2023. 

If you encounter any problems submitting this form, please contact Pam Carson at 216.538.3411 or email

Contact Information


If you chose #1 or #2 above in the Employment Status section, please indicate your preferred title and company for publication on our website, in press releases, and in the graduate directory. This company name will also be used on your name tag when you attend Leadership Geauga events. In the case of those retired and now consulting, you might enter "President" for your job title, and "Jones Consulting" for your company.


What about Geauga County do you most appreciate and value? What leadership book would you recommend that you enjoyed, or one that has helped shape your outlook as a leader? What is your favorite leadership empowerment quote? What has inspired or motivated you to become involved in your community? What is your favorite leadership or diversity quote?