Application for Leadership Owasso Class 2022-2023

Please complete all fields and submit 2 reference letters, in order to be considered for the next Leadership Owasso class. Class size is limited to 25 students per year. Applicants will be notified by August 1, 2022 if there were not accepted in this year's class.

Personal Information

TITLE = Mr. Mrs. Ms. Miss. Dr., etc... SUFFIX = Jr, II, etc...

Title

First Name *

Last Name *

Suffix

Nationality *

Ex: American, Hispanic, etc...

Date of Birth *

Ex: 01-31-1980 (Mo/Day/Year)

How long have you lived or worked in the Owasso area? *

EMPLOYMENT

Name of Employer *

Position/Title *

Employer's Adress

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Work Phone *

Ex: 555-555-5555

Work Email *

Cell Phone *

Ex: 555-555-5555

PERSONAL INFORMATION

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Home Phone *

Ex: 555-555-5555

Home Email *

If accepted, do you need special meal accommodations or have special travel needs/restrictions? If yes, please explain.

Spouse's Name *

Spouse's Occupation *

Vehicle Make/Model/Color *

Because we often travel from site to site, please include your typical vehicle information so we can ensure we don't lose you when traveling.

LEADERSHIP QUESTIONS

How did you receive information about Leadership Owasso? *

If referred by employer or leadership graduate, please state the name of the individual that referred you.

Have you previously applied for participation in Leadership Owasso? *

What do you hope to gain by participating in Leadership Owasso? *

EMPLOYMENT

Please provide a brief description of responsibilities in your current vocation (i.e. work, full-time volunteerism or at home responsibilities) *

EDUCATION

Summarize your educational background, including occupational, vocational and technical training; schools attended, degrees/certificates awarded, field of study and other training or skills you have. *

TUITION

Tuition for Leadership Owasso 2022-2023 is $995 per person. Class members are responsible for payment and will be invoiced for their tuition even though their tuition may be paid by their employer or a sponsor. Tuition is due in full by August 1, 2022 and is not refundable. Tuition will cover all of your program materials and meals.

COMMITMENT

Leadership Owasso is comprised of ten monthly sessions. As with all worthwhile endeavors, the program requires investment of time and commitment from each participant. Your application indicates your willingness to attend and participate in all classes.

ATTENDANCE IS MANDATORY FOR COMPLETION OF THIS PROGRAM

Participants must attend each class in its entirety. You many miss NO MORE than one class during the year in order to successfully complete the program. If more than one class is missed, you will not be eligible to graduate at the end of the session. Make-up sessions can be completed in the following year's Class before you receive your graduation certificate. There is an additional cost involved for make-up sessions.

AGREEMENT

Please read the below statement. By typing in your first and last name in the box, you are agreeing to adhere to the rules of Leadership Owasso.

I understand that I am required to attend all sessions. I may have only one excused absence. Any additional absences will be required to be made up the following class year, before a graduate certificate will be issued. My typed name and date below acts as my electronic signature.

I understand that completion of this application does not ensure my acceptance in the class. If I am accepted, I will be contacted by email and will be sent an electronic invoice for my tuition, as confirmation of my acceptance. I also understand that if I must make up a class the following year, there will be an additional charge of $85 per class for any class I choose to make-up.

Date Signed

Format: M/d/yy

REFERENCES

Two letters of reference should be provided. Letters may be uploaded to this application. If you choose to mail or hand-deliver your application, please do so at the address below: Owasso Chamber of Commerce Attn: Chelsea Levo Feary 315 S Cedar St Owasso, OK 74055 Or you may email your application to: chelsea@owassochamber.com NOTE: Only (1) one letter may be obtained from an applicant's employer.

EMPLOYER SUPPORT

Yes, I have my employer's full support No, I do not have my employer's support

Full support from participant's employer is required. Please mark whether you have your employer's support, then read the description below the "Employer Support Letter section".

Reference Letter #1

Please upload a copy of your 1st reference letter here. If your file can not be uploaded, please email it to chelsea@owassochamber.com NOTE: Only (1) one letter may be obtained from an applicant's employer.

Reference Letter #2

Please upload a copy of your 2nd reference letter here. If your file can not be uploaded, please email it to chelsea@owassochamber.com NOTE: Only (1) one letter may be obtained from an applicant's employer.

Employer Support Letter

Please attach a letter from your employer stating you have their full support to participate in Leadership Owasso. If this is already stated in one of your reference letters, there is no need to upload another letter. Support letter must include Employer's Name, Title, Employer's Signature and the Date, along with this statement: "If selected, this employee will have my full support to participate in Leadership Owasso Class 2022-2023.

Application for Leadership Owasso Class 2022-2023

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