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Leadership Columbia Application
Applicant Information
First Name
(Required)
Last Name
(Required)
Preferred Name for Nametag (if different from legal name)
Years Lived in Columbia
(Required)
Business Name
(Required)
Title
(Required)
Years with Current Company
(Required)
Work Address
(Required)
Work Phone
(Required)
Cell Phone
(Required)
Email
(Required)
Is this the first time you have applied for Leadership Columbia?
(Required)
Yes
No
Are you a U.S. citizen?
(Required)
Yes
No
Overnight Retreat Status:
(Required)
Yes
No - I will attend Retreat both days, minus the overnight room at the hotel.
Overnight hotel stay will be optional at additional cost that will include a personal room for an overnight stay at The Broadway Hotel. Cost will be between 60-80 dollars, depending upon head count. Please indicate if you will be planning to stay overnight during the retreat.
Class Attendance Policy
(Required)
I agree to the class attendance policy.
Complete attendance is an expectation of participation in the Leadership Columbia program. Please carefully review the program schedule, considering your work and personal obligations. If you cannot commit to all sessions this year, consider applying for a future program year. Missing sessions may result in your ineligibility to graduate from the program and/or your dismissal from the class with complete forfeiture of tuition.
Technology Policy
(Required)
I agree to the technology policy.
Leadership Columbia is most impactful when all participants are actively engaged. To that end, cell phones and other devices should be put away during sessions, unless participants are utilizing them for note-taking purposes. The Steering Committee recognizes that participants are vital to their companies and organizations and that some communication back to the office may be unavoidable during class days. For that reason, session organizers will dedicate time for breaks to give you a chance to check in. As a leader, we hope that you will appropriately delegate responsibilities so you can be fully engaged with the program.
Applicant Agreement
(Required)
By checking this box, I indicate that all information on this application is correct to the best of my knowledge and that this information may be used for Leadership Columbia promotions, activities and projects as deemed appropriate by the Columbia Chamber of Commerce.
Supporting Documents
Please attach a copy of your current resume, a letter of support from your direct supervisor, and a short essay document answering the following questions: 1) Describe a personal or professional goal you have set for yourself and the specific steps you took to achieve that goal. 2) What are your five- and ten-year goals? 3) Identify an issue in Columbia that needs to be changed and how you would go about changing this issue. 4) Which Chamber committee will you be willing to participate in upon completion of this program and why?
Applicant Resume
(Required)
Accepted file types: pdf, doc, docx, pages, Max. file size: 50 MB.
Supervisor Letter of Support
(Required)
Max. file size: 50 MB.
Please attach a signed memo on company letterhead from your direct supervisor indicating that you have the full support of your organization in applying for Leadership Columbia and will be permitted to attend all scheduled classes and activities.
Essay Questions
(Required)
Accepted file types: pdf, doc, docx, pages, Max. file size: 50 MB.
Please attach a document with short answers to the following questions: 1) Describe a personal or professional goal you have set for yourself and the specific steps you took to achieve that goal. 2) What are your five- and ten-year goals? 3) Identify an issue in Columbia that needs to be changed and how you would go about changing this issue. 4) Which Chamber committee will you be willing to participate in upon completion of this program and why?
Scholarship Application (if applicable)
Tuition scholarships are available only for those who cannot afford to participate without financial assistance. The following scholarships are available for 2024. Jose Lindner Scholarship: The Fair Missouri Foundation awards one scholarship in the name of Jose Lindner. Jose was the founder of Forum Development Group (now Lindner Properties) and a prominent businessperson in Columbia. He served as Chair of the Chamber of Commerce Board and as a Chamber Ambassador. Jose passed away in 2010. Women's Network Scholarship: This scholarship is awarded by Women's Network each year with the goal of offering leadership opportunities to women who would not otherwise have the means to participate. The recipient of this award must be a Women's Network member. To apply for one of these scholarships, please complete the following.
I would like to apply for:
Jose Lindner Scholarship
Women's Network Scholarship (must be a Women's Network member)
Explain why your organization is in need of scholarship assistance.
Describe how your business/organization would benefit from your participation in the program.
Would you consider:
Partial scholarship
Full scholarship only
