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Class of 2021 Application Form for Leadership Pasadena
Welcome to the Leadership Pasadena application process. Please tell us about yourself by completing these application forms. Receipt of your forms will be confirmed within one week of submission (if you have not heard from us by then, email us at info@leadershippasadena.org). We will contact you to set up an interview to talk about the program with you in person. You will be informed of the decision on your application in May or two weeks after your interview, whichever is later. A fee $500 for partial payment of your tuition will be required by August 1 to reserve your spot in the Class. This $500 is part of your tuition. The remainder of your tuition will be paid by April 1 of the following calendar year. You will be offered payment arrangements to meet your needs. (Note: Military veterans applying for this program have special tuition scholarship arrangements which will be discussed with each veteran in person.) Thank you for your interest in leading in Pasadena! PLEASE NOTE THERE ARE SEVERAL SEPARATE FORMS FOR YOU TO COMPLETE ONLINE. YOU MUST CLICK "SUBMIT" AFTER EACH FORM TO SUBMIT THAT FORM. IF YOU DO NOT CLICK "SUBMIT" AFTER EACH FORM, THE FORM(S) WILL NOT BE PROCESSED!
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First Name
Last Name
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Tell us where we should send your Leadership Pasadena emails
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Please give us your preferred phone number--cell, home, work.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Please list one reference per line. Separate name, relationship, phone number and email address with a comma.
Employment Information
Information on your current employment, if any. Employment is NOT a requirement to participate in Leadership Pasadena and simply write NA in the all spaces. If you are a student, please list your school information in the next "SCHOOL" section.
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Company, City, School, Non-profit, etc Name. If you do not work outside of the home, please write NA
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Since some Leadership Pasadena classes occur during the work week, we want to make sure you will be able to attend. If you are not currently employed, check NA.

Your employer's support of your participation is important. We may want to contact your employer to invite them to your graduation or other event. If you are not employed, write NA.

Phone number of person you report to at work, if anyone. If you are not employed or you are self-employed or the CEO, write NA.

Share your current bio or resume here
School Information
If you are a student, please tell us about your school and your course of studies.

Name of school at which you are taking classes

Please tell us what degree you are currently working towards--AA, Bachelors, Masters, Doctorate. Also tell us what is your course of study.

Military Experience
Please tell us about your military experience.
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Are you a military service veteran or in active military service?

Only applicants with a honorable discharge will be considered for this program. If you received a discharge from military service that is less than honorable, please attach a brief written description of the reason for your discharge.Application materials are confidential and will be shared only with the small selection team.



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In 100 words or less, how do you plan to serve the civilian community using your military experience and skills?
Non-Profit or Professional Activities
Information on your volunteer or professional activities in your community. Current involvement is NOT a requirement to participate. If you are involved in activities, however, we would like to know. If you are not currently involved in any such activities, simply write NA.
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Please list the organizations you currently volunteer for. One organization per line.
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Please list the names of any organizations whose Board you serve on. One organization per line.
Personal Interests/Concerns about the Greater Pasadena Area
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In 100 words or less, tell us why you are interested in the Leadership Pasadena experience.
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In 250 words or less, share your community concerns with us and your ideas on solutions. You do NOT have to have solutions! Sharing your concerns will be just fine!
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In 100 words or less, describe the skills and talents you will bring to the program.
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In 250 words or less, explain any leadership skills you wish to develop; community knowledge or insights you hope to gain; benefits you hope to get for your employer, business or volunteer organization.
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Apply for financial aid does NOT affect your application in any way. We do not want program cost to limit anyone's participation! If accepted, you will be sent a scholarship application at that time to complete. (Note: military service veterans, please select "Wish to apply for the Veterans Scholarship.)
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In order to accomplish Leadership Pasadena’s objectives, the full participation of each individual is essential. Participants are required to attend at least 80 percent of all scheduled seminars in order to graduate. It is encouraged that each participant continue his/her involvement with Leadership Pasadena in some volunteer role after graduation. By typing my name below, I understand and agree to adhere to the required time commitment for Leadership Pasadena.

First Name
Last Name
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You must pay $500 of your tuition by August 1. We encourage full payment of your tuition as soon as possible but we will establish an individual tuition payment plan with whomever is responsible for paying the tuition over time if needed. Tuition must be paid in full by April 1, 2021 in order to graduate. Tuition may be paid by check or credit card. By typing my name below, you understand and agree to the required financial commitment for Leadership Pasadena

First Name
Last Name
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Who do you expect will be paying the Leadership Pasadena tuition?
Important Other Information
The following information is requested to help us evaluate our program. None of your answers will be used in considering your application to participate in the next Leadership Pasadena class.
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Let us know what social issues you may be interested in volunteering for in the future. This is just for our general information. Your interests may change over time!
Thank you!

Thank you for your interest in Leadership Pasadena. We will confirm receipt of your application within one week. We will contact you to set up an interview to meet several of our Board members and alums to discuss Leadership Pasadena with you in person. Interviews will be held March-May.

If you have any questions, please call Cindy at 818-606-5809 or email info@leadershippasadena.org

 

PLEASE CLICK ON THE SUBMIT BUTTON BELOW OR YOUR APPLICATION WILL NOT BE PROCESSED