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LEADERSHIP LAWRENCE COUNTY......... DEVELOPING TOMORROW'S LEADERS TODAY! WHAT Leadership Lawrence County provides leadership education using skilled community leaders as well as outside professionals WHO This program is designed for young and old, experienced and inexperienced. Any individual within an organization who could benefit from increased leadership skills WHEN Classes begin February 2010 COST Tuition, which covers all course materials, lunches, and transportation, is only $375. For more information call the Chamber at 724/654-5593.
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LEADERSHIP APPLICATION
NAME:____________________________________________________________ COMPANY:________________________________________________________ POSITION:_____________________________________________________ ADDRESS: __________________________________________________________________ __________________________________________________________________ PHONE:_______________________ FAX:____________________________ EMAIL:____________________________________________________________ HOME ADDRESS: __________________________________________________________________ __________________________________________________________________ HOME PHONE:_______________________________ EDUCATION HIGH SCHOOL:___________________________________________________ COLLEGE/UNIVERSITY:____________________________________________ MAJOR:________________________ DEGREE:_______________________ EMPLOYMENT (List previous employment positions) 1) _______________________________________________________________ 2) _______________________________________________________________ BUSINESS, PROFESSIONAL, CIVIC AND/OR SOCIAL GROUPS IN WHICH YOU ARE ACTIVE __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ List types of community groups and/or boards you would like to become involved with in the future _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ REFERENCES: Please list two persons, other than your sponsor, who are knowledgeable about your leadership potential and who we may contact regarding your qualifications as a participant 1)_______________________________________________________________ 2)_______________________________________________________________ I understand the purpose of Leadership Lawrence County and if selected will devote the time and energy necessary to complete the program. Applicant's Signature_______________________________________________ Sponsor's Signature of Support_______________________________________
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