Leadership Grand Traverse Official Application Fall – 2012 You are reading this sentence because you are an up-and-coming leader in the Traverse City Area community. That much we know. What we do not know is if you are ready to take the next step by committing to an intense and unique four-month-long program in which you will interact with local leading minds, and engage in answering challenging questions facing the Grand Traverse region. In the end, you would be connected and integrated into society as a leader. Not interested? Stop here. Interested? Turn the page The Chamber's Leadership programs are made possible by: The Contract Leadership Grand Traverse is a valuable program that prepares participants for decision-making leadership roles in areas such as policy, program implementation, and organizational growth. Think of some of the major assets of our region, such as natural resources, parks and recreation, transportation, and agriculture, just to name a few. These selling points did not just happen. It took leaders in decades gone by to lead these initiatives when they were merely ideas or decisions to be made. This valuable program, however, comes with a commitment that is non-negotiable. The expectation and requirement is that you are fully engaged in the entire process. This ensures that graduation accurately signifies a polished leader, ready to get down to the business of building community. The 2012 Leadership Grand Traverse program is held from October to December with the following schedule. Date Mandatory Time Optional Time (lunch included) Subject Tues., Sept. 25 4:00 p.m. Fri., Oct. 5 8:00 a.m. Sat., Oct 6 8:00 – 11:30 a.m. Thurs., Oct. 11 8:00 – 11:30 a.m. 11:30 – 1:00 Local Economy Tues., Oct. 23 8:00 – 11:30 a.m. 11:30 – 1:00 Health & Human Services Weds., Nov. 7 8:00 – 11:30 a.m. 11:30 – 1:00 Education Tues., Nov. 20 8:00 – 11:30 a.m. 11:30 – 1:00 Arts & Culture Thurs., Nov. 29 8:00 – 11:30 a.m. 11:30 – 1:00 Natural Resources Thurs., Dec. 13 1:00 – 7:00 p.m. Orientation Overnight Opening Retreat State & Local Government Closing Retreat & Graduation Locations to be announced Attendance is mandatory at all of these events. Still interested? If so, then we are interested in finding out more about you. Please sign below to indicate that you agree to the mandatory attendance required by the Leadership Grand Traverse program. Applicant Signature I support and approve of the time commitment necessary for the applicant to participate in the Chamber's Leadership Grand Traverse program. Authorized Sponsoring Signature If you have a conflict with any of the above dates, you are encouraged to apply for the Spring 2013 session of Leadership Grand Traverse. Tentative dates for the 2013 Spring session are listed on the last page of this application. Why You? Briefly describe your short- and long-term leadership goals: Other than leadership, what unique attributes/qualities/strengths will you bring to this program? Assuming you are interested in becoming more involved in our community, what other reasons led you to apply for Leadership Grand Traverse? Is this something you are seeking as an individual or were you asked to participate by your employer? Please tell us how you view yourself and your role in the community – family, school, church, work, etc. Please share anything else you would like us to know about you? Tuition Tuition for the Leadership Grand Traverse program is $1,250 per participant and is payable at the time of acceptance to the program. All expenses will be covered by the tuition. Tuition payment should be made payable to the Traverse City Area Chamber of Commerce. Please state how you would plan to pay for the $1,250 tuition. 100% personal 100% sponsor 50% personal/50% sponsor Other (please explain) SCHOLARSHIP / TUITION ASSISTANCE Persons who meet the following guidelines may be eligible for scholarship or tuition assistance. The purpose of the scholarship/tuition assistance program is to ensure a diverse cross section of community participation in the Leadership Grand Traverse program. Consideration for full or partial scholarship will be based on the following criteria: A) B) An employee or administrator of a non-profit organization with a past history of civic involvement who would be unable to participate without tuition assistance. An individual with a past history of civic involvement who would be unable to participate without tuition assistance. First consideration will be given to those individuals who request less than a full scholarship. All requests for scholarship/tuition assistance will remain confidential. If you wish to apply for tuition assistance, please state the amount requested and your reasons for the request. What other means of funding have you considered, or may be an option to you if this scholarship is not available? VERIFICATION My signature verifies that all the information provided in this application is correct to the best of my knowledge. Applicant's signature Date References Please provide contact information for three professional references. Name: Business: Title: Phone: E-mail: How are you connected to this reference? Name: Business: Title: Phone: E-mail: How are you connected to this reference? Name: Business: Title: Phone: E-mail: How are you connected to this reference? Directions SUBMIT YOUR APPLICATION TO: Leadership Grand Traverse ATTN: Doug Luciani Traverse City Area Chamber of Commerce 202 E. Grandview Parkway Traverse City, MI 49684 APPLICATION DEADLINE: FRIDAY, SEPTEMBER 7, 2012 PLEASE DIRECT QUESTIONS TO: Doug Luciani, President & CEO luciani@tcchamber.org 231-995-7108 or Caryn Cleland, Executive Assistant caryn@tcchamber.org 231-995-7107 You will be notified by September 21st on the status of your application. Orientation is Tuesday, September 25th. Leadership Grand Traverse 2013 Spring Dates (tentative) Applications accepted October 15, 2012 – January 15, 2013 Orientation: Wednesday – February 27, 2013 Opening Retreat (overnight): Friday & Saturday – March 8 – 9, 2013 Local Economy: Wednesday – March 13, 2013 Health & Human Services: Tuesday – March 19, 2013 Education: Thursday – April 11, 2013 Arts & Culture: Tuesday – April 30, 2013 Natural Resources : Thursday – May 9, 2013 Closing Retreat & Graduation: Tuesday – May 21, 2013