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Application Form for 8-mo Leadership Pasadena Program
Welcome to the Leadership Pasadena application process. Please tell us about yourself by completing this application form. Receipt of your form 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 with several Board members or alumni to talk about the program with you in person. You will be informed of the decision on your application within 2 weeks after your interview. An acceptance fee will be required at that time to reserve your spot in the Class of 2019. Thank you for your interest in leading in Pasadena!
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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
Employment Information
Information on your current employment, if any. Employment is NOT a requirement to participate in Leadership Pasadena. If you are a student, please list your school. If you do not work outside of the home, write NA in all spaces and answer "NO" to question about confirming discussion with your employer.

Share your current bio or resume here
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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 retired or do not work outside of the home, check NO.

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 outside the home, write NA.

Phone number of person you report to at work, if anyone. If you are retired, you do not work outside of the home or do not report to anyone (you may be self-employed or the CEO), write NA.
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Please list one reference per line. Separate name, relationship and email address with a comma.
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!
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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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We request payment of the full tuition by September 1, 2018. If full tuition can not be paid by September 1, 2018, we will establish a tuition payment plan with whomever is responsible for paying the tuition. The first payment of at least $500 will be due by September 1, 2018. This may be paid by check or credit card. By typing my name below, I 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