Leadership Redding


Leadership Redding Home

Application Fee - $10 (Non-Refundable)

All Applications will be handled in the strictest confidence.  Please limit
responses to the space provided.

Participants will be selected from those individuals who have submitted their
Application Form by MARCH 31ST.  Spouses cannot participate in the same program 
year.






Today's Date: 
September 10, 2010




    Last Name
    




    First Name
    




    Nickname
    




    Mailing Address
    




    Home Phone
    




    Email
    




    Years in Area
    






Have you ever applied for Leadership Redding before? Yes No



How did you hear about Leadership Redding?





EMPLOYMENT





    Present Employer
    




    Date Began
    




    Business Address
    




    Job Title
    




    Business Phone
    





Briefly describe your areas of responsibility


Previous employment in the last five years.
EMPLOYER TITLE OR RESPONSIBILITY FROM-TO 
Briefly outline major accomplishments of your employment background:



What are your career objectives?





EDUCATIONAL BACKGROUND
SCHOOL/COLLEGE DEGREE EARNED FIELD OF STUDY 
Please list other community, civic, professional, business, religious, social,
athletic, or other organizations of which you have been a member.
ORGANIZATION/ACTIVIITES DATES OF MEMBERSHIP
OFFICIAL POSITIONS HELD
 
What do you consider your most significant accomplishment/activity in connection
with these organizations?




What would you hope to gain, and how would you expect to utilize your Leadership
Redding experience? (i.e. PTA, youth related, church, public office, etc.)




What are your objectives or aspirations as a future community leader for the 
Redding region in general?





In your judgement, what are the two most pressing problems facing the Redding 
region today? Explain why and give any recommendations you may have for approaching
and resolving these problems.





List two persons who have knowledge of your qualifications and background, who may
be contacted by the Leadership Redding Selection Committee.
Full Name & Title Business or Home Address Phone Number 


STATEMENT OF UNDERSTANDING

PARTICIPATION:  In order to accomplish the program's objectives, the full partici-
pation of each individual selected is necessary.  Participation includes the 
equivalent of one full day approximately once a month, excluding the Weekend 
Workshop, from September through June.  There are some optional class electives.

TUITION:  Tuition for each participant is $650.00.  A non-refundable deposit of 
$125.00 is payable by July 15th.  The balance of the tuition is due August 15th.

A limited amount of financial assistance may be available.  
If selected to participate, will you find it necessary to seek such assistance?
 Yes No

I understand the purpose of Leadership Redding and acknowledge completion of this
application does not ensure a candidate's acceptance.  Attendance at the Weekend
Workshop is mandatory. If selected, I agree to commit the time and energy required.  

By typing "yes" in the box below, you are agreeing to the following statement:
"I am officially submitting my application to the Leadership Redding program."

This in place of signature.