Leadership Douglas 2020-21 Application

BASIC INFORMATION
Home Address
Gender *
Live in Douglas County? *
Work in Douglas County? *
PRESENT EMPLOYMENT
Business Address
Prefer email at home or business? *
EMPLOYMENT HISTORY
List in reverse chronological order for last 10 years.
BUSINESS/PROFESSIONAL AFFILIATIONS
If any - last three years only. (Use Community Involvement section for civic organizations, public office or political activities.)
COMMUNITY INVOLVEMENT
If any - last three years only. (Civic, public, religious and community involvement, etc.)
SPECIAL AWARDS AND/OR HONORS & RECOGNITIONS
EDUCATION
Are you enrolled or planning to enroll in other education programs at the same time as LD? *
SHORT ANSWER ESSAYS
Please attach a separate document to respond - limit 1 page total.
Why do you feel community involvement is important?
What would you hope to gain from the Leadership Douglas program?
In your judgement, list in order the three most important issue facing Douglas County and note why they are important to you.
TUITION
A tuition fee is required to cover materials, monthly program expenses and retreat. If selected for participation, a minimum of 50% deposit is due at orientation in May, with the balance payable no later than June 26th. Tuition for Leadership Douglas is $800 for DC Chamber members in good standing. Tuition is $1,000 for non-DC Chamber members, which includes a one-year individual DC Chamber membership.
TIME COMMITMENT
Leadership Douglas has a mandatory time commitment for all 10 monthly, one-day sessions and an overnight retreat beginning August 2020. Attendance at all programs is mandatory. In addition, there is a class service project, book study, and occasional out-of-class assignments to go along with day programs. The time commitment is serious and participants not complying with the attendance requirements will be dropped from the program without tuition reimbursement. If selected, you are your employer must be willing to make a commitment of your time. (2020 Dates: May 20, 4 - 6pm Orientation; July 28th, 5 - 7pm Introduction to Alumni; August 26-27 Retreat; October 1; November 2; December 13; December 10 Holiday Social (2021 Dates 1st Thursdays))
ACKNOWLEDGEMENT *
The applicant must upload the document with the signature of approval by the CEO or supervisor. Download the signature document here: https://douglascountygeorgia.com/wp-content/uploads/2020/01/Leadership-Douglas-Application-Approval-document-1.pdf
Completed application MUST be received in Chamber office by 5 p.m., Friday, March 13th. No applications will be accepted after the deadline.