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Application: Signature Program, 2018-2019
About the application process
In identifying quality candidates, we review each application carefully, looking for prior leadership achievement as well as leadership potential. All candidates for the program will be interviewed. You must complete and e-sign your application and your sponsor/employer (if applicable) must complete an agreement as well. Tuition is $2, 800. The non-profit rate is $2,500. Limited scholarship support is available. For more information about Leadership Snohomish County or the Signature Program, please call 425.512.5244.
Contact Information
Name
*
First Name
Last Name
Preferred Phone
Preferred Email
Verify Email
Organization/Employer
How long have you been employed with this organization?
Your Position/Title
Supervisor's Name and Title
CEO or Executive Director Name
Business Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Personal Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Scholarship Request:
Would you like to be considered for scholarship support?
Yes, for a full scholarship
Yes, for a partial scholarship
No
Describe your involvement in current or past civic activities.
For instance, include offices held, honors, or achievements.
Describe any additional history you’d like to share relative to leadership, mentoring, or other professional experience.
What do you hope to gain from your Leadership Snohomish County experience?
Class participants are required to participate in a two-day retreat on September 13 and 14, 2018. Retreat hours are 8 a.m. – 5 p.m. A short evening reception will follow the retreat on the 13th.
Monthly Education Days are on the first Thursday (for cohort one) or second Thursday (for cohort two) starting in October. Class members must fully participate in the seven Education Days (8 a.m. to 5 p.m.) and a Project Presentation day.
Cohort assignments are made by August 1st.
Class participants are required to fully participate in both a community impact project (with a project team) and a research interview. These projects are part of our leadership development program and are in addition to the Education Days.
Please type your name below to indicate agreement: By submitting this application, I confirm that I understand the requirements of the Signature Program and agree to fully participate in the program.
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First Name
Last Name
Resume Upload
Reference letter 1
Please attach your first reference letter here.
Reference letter 2
Please attach your second reference letter here.