2016-17 FLAGSHIP PROGRAM
APPLICATION INSTRUCTIONS
Submit by the Early Bird deadline of May 23rd to be eligible for a special drawing.
Our Mission
To educate, connect, and energize leaders to serve and improve the community.
Why Leadership Winston-Salem?
This program has helped to create a more leader-full community by giving participants unique behind-thescenes insights about current needs and issues facing our community and by orienting them to our city’s
rich history and resources. Participants are better equipped to assume a more active volunteer leadership
role in addressing community needs. Due to program demand and class composition, it’s not uncommon
to take multiple application years to be selected. All class positions are open each year, and application
does not guarantee selection.
Qualifications
All applicants must:
 Live or work in Forsyth County;
 Have high standards of personal integrity;
 Show evidence of leadership/achievement in community activities, and/or demonstrate a desire
to increase community involvement;
 Be open to other perspectives, to learning, and to further developing collaborative leadership
skills;
 Be willing to commit the required time to Leadership Winston-Salem (program days, pre-work,
and Action Learning);
 Be committed to using their leadership skills and knowledge for the long-term benefit of
Winston-Salem/Forsyth County.
Selection
Leadership Winston-Salem’s class participants will be selected through a rigorous process by
members of the Selection Committee. A primary goal is to ensure the class represents a wide crosssection of the community, with diversity in all aspects. Applicants will be notified of the committee’s
decision by late-August. Applications must be answered completely to warrant consideration.
Tuition
Tuition is $2,500 and payable by September 15, 2016.
If your company plans to pay your tuition, please confirm approval by having your supervisor fill out,
sign and return the Employer Statement of Support.
Leadership Winston-Salem has a limited amount of Need-Based Partial Tuition Assistance available.
Those requesting assistance must complete the Tuition Assistance Request Form and enclose it
with the application. Your completed application, commitment forms and tuition assistance request (if
applicable) are due on or before 5:00 p.m. on June 20th.
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Leadership Winston-Salem 2016-17 Program Application Instructions continued
Additional Application Instructions

Save an electronic version of your complete application for future reference.

Please do not attach resumes in lieu of this application. They will not be reviewed.

Final application deadline with signatures (digital electronic signatures are accepted) is June 20th.
Application Tips

Use the Application Checklist on the following page to ensure you understand the expectations
and have completed all forms necessary.

Information contained in this application is how selection decisions are made. Please take
time to complete all sections thoroughly, and tell us what is unique about you.

The Selection Committee considers how your experiences might mix with others in the pool to
enrich the experience of class members. Past community service or volunteerism is weighed
heavily; however, a desire to deepen involvement is also considered.

While applications are confidential, please specify your gender, race and/or ethnicity to assist us in
selecting a class that reflects the diversity of the community.

No acronyms, please.
For more information contact:
Program Coordinator, at 723-1002 x 207 or program@leadershipws.org
Submit application with your Statement of Commitment,
Employer Statement of Support (if applicable) and Tuition Assistance
Request (if applicable) to program@leadershipws.org
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2016-17 FLAGSHIP PROGRAM
APPLICATION CHECKLIST
Submit by the Early Bird deadline of May 23rd to be eligible for a special drawing.
FINAL DEADLINE: June 20, 2016
 Application meets the stated qualifications included in the instructions.
 Check your calendar, prior to applying, against the dates below for any known conflicts and hold these
dates until you are informed of your application status in late-August 2016.
 “Statement of Commitment” has been signed by you.
 “Employer Statement of Support” has been signed by your manager (if applicable).
 All sections of the application have been completed. Email to program@leadershipws.org with these
forms: Statement of Commitment, Employer Statement of Support (if applicable), and Tuition
Assistance Request (if applicable).
 Reference form (optional) has been forwarded to a community/professional reference to send in by the
June 20th deadline.
 If accepted, tuition of $2,500 will be due by September 15, 2016 unless other arrangements have been
made with the Executive Director.
To complete the LEADERSHIP WINSTON-SALEM program, a participant is expected to attend a
minimum of 90% of the program, which includes:
 An overnight Opening Retreat – October 12-13, 2016 (mandatory)
 Seven full leadership days scheduled November through May, which run from 7:15 a.m. to 5:15 p.m.
 A day of project presentations and an evening induction ceremony – June 7, 2017 (mandatory)
 Action learning project work, individual reading and assigned pre-work between scheduled sessions
(An average of 8-12 hours per month, varying in accordance with each team’s choices, which may
occur during office hours.)
Program Schedule
*Wednesday, Oct 12 – Thursday, Oct 13
Wednesday, Oct 26
Wednesday, Nov 9
Wednesday, Dec 7
Wednesday, Jan 11
Wednesday, Feb 8
Wednesday, Mar 8
Wednesday, Mar 15
Wednesday, Apr 5
Wednesday, May 10
*Wednesday, June 7
Thomas K. Hearn, Jr. Opening Retreat
Bus Tour
Our Community: Past, Present & Future
Government, Criminal Justice & Public Safety
Human Relations
Health Care
Arts in Community
Weather Make-Up Day (if needed)
Education
Social Services
Closing Session & Celebration 2017
*denotes mandatory attendance
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