Tuition forthe2017-2018Leadership HardeeProgramis$550perparticipant,and includesmeals andtransportationduringclassdays,andmaterials forsessions. Included with this application is the Code of Conduct, with signature required.

LeadershipHardeeiscommittedtoincludingqualifiedapplicants. Payment can be made by participant, their employer or a combination of both.

CONTACTINFORMATION

LastEmployer

FirstMiddlePreferredJobTitle

HomeAddressBusinessAddress

CityStateZipCityStateZip

CellPhoneBusinessPhone

PersonalEmailBusiness Email

Preferredmethodof contact:(please selectoneforeach)

MailingAddressPhoneEmail

BusinessBusinessBusiness

HomeCellPersonal

*Yourdecisionletterwillbesent tothe emailaddressselected.

EMPLOYMENT INFORMATION

PresentEmployer: ______StartDate:

Job Title: ______

Briefly describe your greatest responsibility, skills and/or career achievement:

References:

#1)

Name/Title: ______

Relationship:______

Phone: ______

#2)

Name/Title: ______

Relationship: ______

Phone: ______

EMPLOYERAUTHORIZATION(ifapplicable)

I approvetheparticipationof in theLeadership Hardeeprogram.This applicanthas the approvalandfullsupportof thisorganization,includingthe timerequiredtosuccessfully completetheprogram.(Forapplicantswhoanswerdirectlytoaboardofdirectors, suchasan executive directorof anon-profitorganization,please have theboardpresidentorchair sign)

Signature______Title______

Organization______Date______

I agreeto pay $of the Leadership Hardeetuitionfortheaboveapplicant ifaccepted.

Iunderstand thetuitionisnonrefundableand nontransferable.

Signature______Title______

Organization______Date______

PRIORLEADERSHIPPROGRAM PARTICIPATION

Have youparticipatedinanotherCommunityLeadershipprogram? __Yes No

If yes,pleaselist theprogram(s)and theyear(s)of participation: Haveyou appliedto LeadershipHardee in the past? _Yes No If so,whatyear(s)?

How did you learn about Leadership Hardee?

EDUCATION

Name of Institution / Location / Degree/Major / Year

COMMUNITYCONNECTIONS

Please list,inorderofimportancetoyou,yourbusiness/professional affiliations, aswellasinvolvementin civicorganizations,businesscommunityboardservice,andvolunteerism.

Organization/ActivityPositionDate/Year of Membership

ESSAYQUESTIONS

Keep inmindthat youranswersaretheonly tooltheSelectionCommitteehas tolearnaboutyou,as wedo not conductinterviewsoracceptlettersof recommendation.Give yourselfenoughtimetocompletethe questionsthoughtfully.Pleaseanswerthemthoroughly,butlimityouranswerstothespaceprovided or attachadditionalpage.

COMMUNITYVISION

Whatassetsand strengthsdowehave in HardeeCounty that youareproud of?

Whichchallenge(s)facingHardeeCountyareyoumost passionateabout,andwhy?

PERSONALSTATEMENT

Whydo youwanttoparticipatein Leadership Hardee?Why shouldyoubeselected forLeadershipHardeeClass VII?

APPLICATIONAGREEMENT

IfAccepted:

 I havecleared mycalendaron theappropriatedates.

 I understand that any funds generated by the class fundraiser will be distributed by Hardee

Community Foundation

 I willattend or participate in the 3 mandatoryevents: orientation,class fundraiser and

graduation ceremony.

 I willattend aminimumof 7outof the 9day-longclassdays.

 I understandthatif ImissthreeclassdaysORanyof the mandatoryevents,I willnolongerbea

participantin theprogram.

 I understand that the$550tuitionis duebyWed. Aug 25th,andthatIampersonally

responsible forany portionof tuition not paid by myemployer.

*If Employer pays for any part of tuition, they will be notified of any absences.

BysigningthisapplicationIagreeto bebound by this commitmentif Iam selectedfor

Leadership Hardee.

SignatureDate

WitnessDate

APPLICATIONCHECKLIST

Didyoufullycompletetheapplication?

DidyouanswerALL essayquestionsand limityour answerstothe spaceprovided?

Didyouremployer signtheemployerauthorizationsection? (if applicable–page2)

Didyousign theapplicant agreement?(above)

Applicationdelivered via email or mailby Friday, July 21st,2017at 4:00pm

LEADERSHIPHARDEECONTACTINFORMATION

Jessica Turner, ProgramCoordinator Mail, Fax, Email or Drop off at:

863-445-1058 cell

863-773-36967 work phone

Hardee Chamber of Commerce

135 E. Main Street, Wauchula FL 33873

hardeecc.com

OPERATING POLICY

Leadership Hardee is governed by a committee within the Hardee County Chamber of Commerce. The Committee consists of Chamber board members and community leaders who have a keen interest in the Leadership Hardee program and its promotion of Hardee County.

The Leadership Hardee program shall be comprised of not less than 8, and no more than 10 class sessions over a nine month period. Applicants will receive the detailed class schedule prior to acceptance in the program.

Leadership Hardee shall seek applicants for enrollment strictly within the membership of the Hardee County Chamber of Commerce. Applicants will be encouraged from across the spectrum of people representing business, civic, cultural, social, and governmental entities regardless of race, color, religion, gender, origin, age, disability, marital status, political affiliation, and sexual orientation.

Leadership Hardee may be administered by the Hardee County Chamber of Commerce or it may be administered by a qualified individual/organization selected by the Leadership Hardee Committee. The Committee shall set any compensation for such administrative services.

The Leadership Hardee Committee shall adopt an annual program and operating budget to support that program and shall establish the tuition amount required to fully fund all program activities.

The Leadership Hardee Committee shall make periodic reports to the Board of Directors of the Hardee County Chamber of Commerce in order to assure continuing support clear communication.

2017-2018 Leadership Schedule

August 24, 2017

Kick Off Luncheon: Noon-2pm

September 13, 2017

Session 1: 8am-4pm

October 11, 2017

Session 2: 8am-4pm

November 8, 2017

Session 3: 8am-4pm

December 13, 2017

Session 4: 8am-4pm

January 10, 2018

Session 5: 8am-4pm

February 7, 2018

Session 6: 8am-4pm

March 14, 2018

Session 7: 8am-4pm

April 12, 2018

Session 8: 8am-4pm

May 9, 2018

Session 9: 8am-4pm

May 23, 2018

Graduation:Noon-2pm13

Each class session will begin at an Early Bird Breakfast located at a participating Chamber member’s on-site location. Attendance will be required in order to graduate from the Hardee Leadership Program.