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Leadership Stockton
Online Application
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- 2022-23 Session Schedule
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About
- History
How to Apply
Session Calendar
- 2022-23 Session Schedule
Sponsor
- Friends of Leadership Stockton
Events
Projects
- Current Class Project
- Past Projects
Alumni
Contact Us

Online Application

CONFIDENTIAL APPLICATION:

Instructions This application must be completed at one time, it does not allow to save and come pack later. So we suggest you download the PDF and review the questions before starting the online form. Please provide sufficient information for the Selection Committee to determine eligibility based on your skills, professional experience, and community involvement.

Personal Data

Select One
Mr.Ms.Mrs.
First Name *
Last Name *
Preferred or Informal Name
Home Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Home Phone *
Home Email *
Do you expect to be living in this area in three years? *
YesNo
Current Employer *
Business Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Business Phone *
Business Email *
What is your job title and main responsibility? How long have you held that position? *
List previous positions held, along with time frames. *
Educational Background. *
How did you hear about the Leadership Stockton program?

OPTIONAL DATA:

Other information about you that would add.

QUESTIONS:

1. In order of importance to you, list your present and past commitments to any community, civic, religious, social, athletic, and other organizations. Include organization’s name and position(s) held, along with dates of participation:
2. Please list any special awards, recognitions, certificates or certifications:
3. What do you consider your greatest achievement in question 2?
4. How much time do you commit to organizational and community activities?
5. If you have not had time or interest to become actively involved in the past, what conditions have changed that now enable you to seek involvement in the community?
6. What qualities do you feel make you a potential community leader? Give examples of how these attributes have been demonstrated:
7. Please list the three most significant challenges facing the greater Stockton area today:
8. What do you feel needs to be done about one of these issues?
9. Please list the three most notable opportunities the greater Stockton area has to offer:
10. What do you feel needs to be done to develop one of these opportunities?
11. What do you hope to gain from your Leadership Stockton experience? What are your expectations?

COMMITMENT:

Attendance: (Make sure you have the time!) In addition to the retreat, the time commitment is 10 day-long sessions and full participation in a group project outside of class. Attendance at all sessions is expected. Attendance at the two day retreat in September is mandatory. More that one absence during the program year will result in deletion from the program with no tuition refund. Late arrival or partial attendance at any session in excess of two occurrences will result in deletion from the program and no refund.
Tuition: The tuition fee is $1,000. Each participant is required to pay the first $175 of the tuition fee. The remainder of the fee may be paid by any club, organization, business, employer or the participant. No monies will be collected until notification of acceptance. All monies due by November.
If accepted: *
I will pay the tuition fee.My employer/sponsor will pay the tuition fee.I will require financial assistance.
If you are selected, a representative of Leadership Stockton will contact you to make arrangements. You are encouraged to seek a sponsor(s) if your employer is not paying the tuition as partial scholarship funds are limited.
I understand the purpose of Leadership Stockton and that completion of this application does not ensure candidate acceptance. I am willing to abide by the tuition and participation requirements. Attendance is mandatory at the August 12, 2022 Orientation, August 19, 2022 Leadership Dynamics Session, and September 23 & 24, 2022 Retreat. More than one absence during the program year(remaining 8 sessions) will result in deletion from the program with no tuition refund. Late arrival or partial attendance at any session in excess of two occurrences will result in deletion from the program and no refund. You must participate in individual projects, encouraging participants to explore their Stockton community. You must participate in a hands-on community project.
By checking the box below you are agreeing to the above terms. *
Yes, I agreeNo, I don't agree
Date *

EMPLOYER COMMITMENT:

Employer: All applicants must have their employers agree to the below Participants in Leadership Stockton must have the support and commitment of their employer, if not self-employed. I am aware of the attendance requirements and offer my support.
I have reviewed the above with my employer and they agree and are in support of me participating in the program. *
Yes, they agreeNo, they do not agree
Date *
Text

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Contact for Information

(209) 547-2770
carolyn@stocktonchamber.org

Office Address

445 W. Weber Ave. Ste. 220
Stockton, CA 95203

Class Members:

Click to Download an Individual Project Report Form

A Program of the:

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