RVA LEADERSHIP LAB
CLASS II APPLICATION
At the heart of great leadership is the ability to ignite the extraordinary potential that resides within us. To do
so requires a conscious choice, the ability to draw strength from core values and personality style, and an
understanding of what others need, believe, and feel.
Armed with this knowledge, leaders craft a vision of who they want to be, where they want to go, and how
they want to get there. Leadership is not something one can do alone; therefore the Greater Richmond
Chamber has partnered with Luck Companies to develop a team-based leadership program.
Leadership Lab is designed to create individual development and relationship building for emerging leaders
who are interested in increasing their capacity to influence and lead within their organizations. Building on
emotional intelligence developed through workshops and group executive coaching, the program will equip
emerging leaders with the self-confidence and tools needed to effectively develop personally and
professionally.
This is a five month program that features four full-day workshops and four half-day coaching sessions. The
first three workshops will focus on self-awareness, social awareness, and influence. Before the program and
between each workshop, class participants will be split into small groups and will meet with professional
coaches to discuss their leadership style and craft a personal vision. During the final workshop, participants
will apply the skills learned during the program.
QUALIFICATIONS:
Participation is limited. To apply, you must:
 Have at least 8 years of work experience
 Be career-driven with a strong focus on professional development
 Have support from your corporation, organization or association to participate
KEY DATES:
 Welcome Reception & Orientation:
 Coaching Session #1: Introductions
 Workshop #1: Self Awareness:
 Coaching Session #1: Style and Leadership
 Workshop #2: Social Awareness
 Coaching Session #2: Setting goals
 Workshop #3: Leadership
 Coaching Session #3: Personal vision
 Workshop #4 – Practice & Closing Reception:
6.00 p.m.–8.00 p.m.
9.00 a.m.–12.00 noon
8.30 a.m.–5.00 p.m.
9.00 a.m.–12.00 noon
8.30 a.m.–5.00 p.m.
9.00 a.m.–12.00 noon
8.30 a.m.–5.00 p.m.
9.00 a.m.–12.00 noon
9.00 a.m.–7.00 p.m.
Tuesday, January 22, 2013
Wednesday, January 23, 2013
Wednesday, February 6, 2013
Wednesday, February 20, 2013
Wednesday, March 6, 2013
Wednesday, March 20, 2013
Wednesday, April 3, 2013
Wednesday, April 17, 2013
Wednesday, May 8, 2013
FEE:
The cost to participate is $1,750. Partial scholarships are available. Your employer may contribute any portion
of the fee on your behalf.
DEADLINES:
November 30, 2012 – Applications due
December 7, 2012 – Candidates will be notified regarding selection
APPLICATION
ALL APPLICATIONS ARE DUE BY 5 P.M., FRIDAY, NOVEMBER 30, 2012
Please return completed application to:
Greater Richmond Chamber | P.O. Box 1598 | Richmond, VA 23218-1598 | Attention: Richard Wintsch
Phone: (804) 783-9301 | Fax: (804) 783-9366 | E-mail: richard.wintsch@grcc.com
INSTRUCTIONS:
The application must be completed in its entirety, as it will be the determining factor for selection. No
additional pages may be submitted. It is preferable to send the completed application by electronically by
email.
INFORMATION
Name:
Title:
Company Name:
Company Address:
City:
State:
ZIP Code:
Work Email:
Work Phone:
Cell Phone:
EDUCATION:
School
City, State
Dates (Mo/Yr)
PROFESSIONAL EXPERIENCE: Tell us about your professional experience and professional accomplishments:
Please print or type your answer here:
Degree
PERSONAL EXPERIENCE: Tell us about your personal interests or accomplishments:
Please print or type your answer here:
PERSONAL INFORMATION
Years living in the Greater Richmond area?
yrs.
Race (optional):
Asian/Pacific Islander
African/African American
Year of Birth:
(Optional)
Caucasian
Gender:
M
Hispanic/Latino
F (optional)
Other
Participation in the program is limited therefore please take time and be thoughtful when answering the following
questions:
QUESTION: Describe the biggest leadership opportunity in your life right now that you hope to reshape or resolve through your
participation in this program?
Please print or type your answer here:
Nearly there, 2 more questions to go…
QUESTION: What are your personal beliefs about leadership?
Please print or type your answer here:
QUESTION: What makes you an ideal candidate for RVA Leadership Lab and how will you benefit your fellow participants?
Please print or type your answer here:
SCHOLARSHIP ASSISTANCE
The Greater Richmond Chamber desires to have all interested people apply to the program regardless of financial status. A limited
number of need-based partial (Not to exceed $300) scholarships are available. If interested in applying for financial assistance,
please state the amount and the reason for the request below. Scholarship assistance is not guaranteed. Requests for scholarship
will not impact selection decisions, but the statement of need section of the application must be completed for consideration.
Yes, I wish to be considered for scholarship assistance.
Amount: $
Statement of need:
I commit to staying for the duration of the program and being actively engaged in RVA Leadership Lab
Print Name:
Signature:
Date:
(Simply type in name if you are sending the form electronically)