Online Application for the 2018 Leadership Program

• Leadership will begin accepting applications for the 2018 Leadership Program in May 2017.
• Please note that during the application process you may be invited to a personal interview conducted by one or more of the Nominating committee members.
• Nominees for the Leadership Program must have the support and commitment of their sponsoring business or organization, if applicable. If you are submitting this application online, you will need a letter signed by the head of the sponsoring organization as an indication of support for the nominee's participation in the Leadership Program.
  • APPLICANT'S PERSONAL INFORMATION

  • BirthdateAge 
  • APPLICANT'S CONTACT INFORMATION

  • Home PhoneWork PhoneCell Phone 
  • Personal EmailWork Email 
  • APPLICANT'S SPONSORING COMPANY OR ORGANIZATION (if applicable)

    Nominees for the Leadership Program must have the support and commitment of their sponsoring business or organization, if applicable. If you are submitting this application online, you will need a letter signed by the head of the sponsoring organization as an indication of support for the nominee's participation in the Leadership Program. Please submit the letter via email to Margi@LeadershipProgram.net, or mail it to: Leadership Program, 1700 S. El Camino Real, #108, San Mateo, CA 94402.
  • NamePhone NumberWebsite 
  • APPLICANT'S EMERGENCY CONTACT INFORMATION

  • NameRelationshipPhone NumberAlternate Phone Number 
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  • I. APPLICANT INFORMATION

  • II. EDUCATION

  • **NOTE: For Sections II, III, and IV - You may upload a resume to describe your Education, Activities, and Employment**
  • III. ORGANIZATION/BUSINESS, PROFESSIONAL & VOLUNTEER ACTIVITIES

  • **NOTE: For Sections II, III, and IV - You may upload a resume to describe your Education, Activities, and Employment**
  • IV. EMPLOYMENT

  • **NOTE: For Sections II, III, and IV - You may upload a resume to describe your Education, Activities, and Employment**
  • V. REFERENCES

    List two people who have knowledge of your qualifications or have previously participated in Leadership San Mateo, Foster City, Burlingame, and Hillsborough. (Note: the Nominating Committee may contact these individuals.)
  • NameTitleCompany or OrganizationAddressCity, State, ZipPhone 
  • NameTitleCompany or OrganizationAddressCity, State, ZipPhone 
  • VI. SOCIAL PROFILE

  • VII. TUITION/FEES

    Total Tuition and fees for the 2018 Leadership Program are $1,600: $100 Application Fee (Non-refundable) $1,500 Class Tuition (Covers speakers, class materials, continental breakfasts, lunches, and afternoon refreshments for the 2-day kick-off retreat*, 10 full-day sessions, and the graduation ceremony). Fees must be paid in full by August 31, 2017 unless prior payment plan arrangements are made. Please make checks payable to San Mateo Area Leadership Program. *Note: The 2-day kick-off retreat in September 2017 is mandatory for all class participants.
  • VIII. SCHOLARSHIPS

    The Leadership Board strives to endorse Candidates reflective of our diverse communities. Each year, we fundraise to provide a range of scholarships based on student need. There are a limited number of partial scholarships available, up to 50%. Applicants who receive assistance will be notified in August 2017.
  • VIII. Declaration upon Completion of Application

  • Once you submit your application please visit: http://leadershipprogram.net/tuition/ to pay your applicatiion fee. Thank you.
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