Leadership McAlester Class of 2015-2016
What is Leadership McAlester?
Leadership McAlester was designed to give professional leaders the opportunity to learn more
about their community and to develop relationships with other participants and community
leaders.
Leadership McAlester will start in September 2015 with an evening reception followed by a full
day of McAlester history. The course will be completed in February 2016, meeting once a
month, with the graduation ceremony commencing on April 7, 2016.
In addition to exploring the city, county, healthcare, educational, utilities and large employers
in the area, the participants will also develop their team building skills by choosing a service
project that will need to be completed by class graduation.
Participants and employees must commit to this program for it to be effective.
Deadline for applications is August 28, 2015.
For those needing financial assistance, the Chamber is able to provide scholarships due to a
grant from the Puterbaugh Foundation. Please see page 4 to apply for a Puterbaugh
Scholarship.
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Leadership McAlester
Class of 2015-2016
Personal Data
_____________________________________________________________________________________
Last Name
First Name
Prefer to be called
____________________________________________________________________________________
Company/Association
Position/Title
Years of service
____________________________________________________________________________________
Business Address
City/Zip
____________________________________________________________________________________
Business Phone
Fax
Company web site
___________________________________________________________________________________
Home Address
City/Zip
___________________________________________________________________________________
Home Phone
Cell Phone
Email
___________________________________________________________________________________
Name of Spouse
Children (names and ages)
T-shirt size
Small_____ Medium______ Large______ XL______ XXL______ XXXL _____
Briefly describe your primary occupation and duties:
____________________________________________________________ ______________________
____________________________________________________________________ ______________
_________________________________________________________________ _________________
Why do you want to participate in Leadership McAlester?
_________________________________________________________ ________________________
_____________________________ ____________________________________________________
__________________________________________________________________________________
If you could go back in time in McAlester, what/who/where do you see yourself?
__________________________________________________________________________________
__________________________________________________________________________________
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If you could assist our community in any way, what would you do? What would you expect
the results to be?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
What do you feel McAlester’s (or the surrounding area’s) strengths are?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Previous Employment (most current first)
Employer
Title
From
to
End Date
_______________________________________________________ ___________________________
__________________________________________________________________ ________________
_________________________________________________ _________________________________
_______________________________________________________________ ___________________
Education
Name and City
Dates
Degree
Major
_______________________________________________________ ___________________________
___________________________________________________________________________________
___________________________________________________________________________________
Organizations/Activities/Community Involvement
Describe your current volunteer, civic, community and worship-related activities, noting any special
awards and citations. Include specific examples of your leadership experience.
Organization
Position(s) held
No. of hours monthly contributing
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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Participation
In order to accomplish the objectives of Leadership McAlester, the full participation of each
individual is necessary. Absenteeism will result in failure to graduate. Only two (2) absences
are allowed from a regularly scheduled class. Three absences will result in not graduating from
the class. Participants must commit to the course, and to be prepared to participate. You and
your employer must be willing to make this commitment in order for you to get the most from
the class.
Are you able to fulfill this commitment?
YES_____
NO_____
Do you have the full support of your employer for the time requirement to participate
effectively in Leadership McAlester?
YES_____
NO_____
___________________________________________________________________________________
Signature of Supervisor
Printed name
Date
Tuition
The cost for Chamber members to participate with Leadership McAlester is $395.00. NonChamber members cost is $495.00. Your organization will be billed the full amount once your
application has been accepted.
For those that are not sponsored by their employer, The Puterbaugh Foundation has provided
scholarships.
Would you like to apply for a Puterbaugh Scholarship?
YES_______
NO_______
Reason for Puterbaugh Scholarship:___________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________ ________________
___________________________________________________________________________________
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Program dates and preliminary course studies:
September 23, 2015
Reception
Location, TBD
September 24, 2015
McAlester History
How McAlester started
Tour of area and attractions
Discuss Class Service Project
October 22, 2015
City and County Leadership
City Hall and Court House tour
Meet with city and county leadership
Public Works (water, sewer, roads, etc.)
Law enforcement
Decide Class Service Project
November 19, 2015
Educational system(s)
Public and Private Schools
Kiamichi Technology Center
Eastern Oklahoma State College
December 17, 2015
Economic Development
State Leadership Q&A
Economic Development, Chamber, Tourism, Pride
and Main Street
January 28, 2016
Health Services
McAlester Regional Hospital
Warren Clinic
Choctaw Healthcare systems
Health Department
February 25, 2016
Large Employers
Tour of McAlester Army Ammunitions Plant
Tour of Oklahoma State Prison
Graduation April 7, 2016
Class project presentation
Class awards
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To the Employer:
Name of applicant’s direct Supervisor:___________________________________________
Phone number of Supervisor:___________________________________________________
Supervisor’s Signature:________________________________ Date:__________________
Application Process
All applications are subject to confidential evaluation and a personal interview by the
Leadership McAlester committee. If you are not selected to participate in the Leadership
McAlester program, your biographical information data will be retained by the committee for
consideration of future classes. Applications must be received by the McAlester Area Chamber
of Commerce no later than Friday August 28, 2015. Applicants can drop off their application at
the Chamber office or email to: jeff@mcalester.org
All applicants will need to submit a resume with their application.
I understand the purpose of Leadership McAlester program and that completion of this
application does not insure my acceptance in the program. If selected to participate, I will
devote the time required. I also understand that the tuition fee will not be refundable to any
participant dropped from the program. I certify that all of the statements made in the
application are true, complete, and correct to the best of my knowledge and are made in good
faith. My employer supports my participation in Leadership McAlester. My signature below
states that I understand all items herein.
___________________________________________________________________________________
Applicant’s Signature
Printed Name
Date
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