Leadership Youniversity Class of 2016

Leadership YOUniversity Class of 2016

What is Leadership YOUniversity?

Leadership YOUniversity was designed to give progressive employees the opportunity to be educated in areas that will help promote them or give them additional skills that are needed in today’s fast paced work environment.

Course work will include education and practical experience with:

Ethics

Team building and Networking

Personality Traits

Professional Etiquette

Generational Differences

Professional Customer Service

CEO Roundtable Discussion

Leadership YOUniversity will start in April 2016. The course will be completed in September 2016, meeting once a month, with the graduation ceremony commencing in October of 2016.

Participants and employees must commit to this program for it to be effective.

Deadline for applications is April 1, 2016

For those needing financial assistance, the Chamber is able to provide scholarships due to a grant from the Puterbaugh Foundation. Please see page 4 to apply for a Puterbaugh Scholarship.

Leadership YOUniversity

Class of 2016

Personal Data

______

Last NameFirst NamePrefer to be called

______

Company/AssociationPosition/TitleYears of service

______

Business AddressCity/Zip

______

Business PhoneFax Company web site

______

Home AddressCity/Zip

______

Home PhoneCell PhoneEmail

______

Name of SpouseChildren (names and ages)

Briefly describe your primary occupation and duties:

______

______

______

Why do you want to participate in Leadership YOUniversity?

______

______

______

What do you feel is an area of personal growth you would like to have?

______

______

If you could assist your business in any way, what would you do? What would you expect the results to be?

______

______

______

What do you feel your strengths are?

______

______

______

Education

Name and CityDatesDegreeMajor

______

______

______

Organizations/Activities/Community Involvement

Describe your current volunteer, civic, community and worship-related activities, noting any special awards and citations. Include specific examples of your leadership experience.

OrganizationPosition(s) heldNo. of hours monthly contributing

______

______

______

Participation

In order to accomplish the objectives of Leadership YOUniversity, the full participation of each individual is necessary. Absenteeism will result in failure to graduate. Only two (2) absences are allowed from a regularly scheduled class. Three absences will result in not graduating from the class. Participants must commit to the course, and to be prepared to participate. You and your employer must be willing to make this commitment in order for you to get the most from the class.

Are you able to fulfill this commitment?YES_____NO_____

Do you have the full support of your employer for the time requirement to participate effectively in Leadership YOUniversity? YES_____ NO_____

______

Signature of SupervisorPrinted name Date

Tuition

The cost for Chamber members to participate with Leadership YOUniversity is $395.00. Non-Chamber members cost is $495.00. Your organization will be billed the full amount once your application has been accepted.

For those that are not sponsored by their employer, The Puterbaugh Foundation has provided scholarships.

Would you like to apply for a Puterbaugh Scholarship?YES______NO______

Reason for Puterbaugh Scholarship:______

______

______

______

______

Program dates and preliminary course studies:

April 21, 2016

May 19, 2016

June 16, 2016

July 21, 2016

August 25, 2016

September 15, 2016

Graduation October 6, 2016

To the Employer:

Name of applicant’s direct Supervisor:______

Phone number of Supervisor:______

Supervisor’s Signature:______Date:______

Application Process

All applications are subject to confidential evaluation and a personal interview by the Leadership YOUniversity committee. If you are not selected to participate in the Leadership McAlester program, your biographical information data will be retained by the committee for consideration of future classes. Applications must be received by the McAlester Area Chamber of Commerce no later than Friday April 1, 2016. Applicants can drop off their application at the Chamber office or email to:

All applicants will need to submit a resumewith their application.

I understand the purpose of Leadership YOUniversity program and that completion of this application does not insure my acceptance in the program. If selected to participate, I will devote the time required. I also understand that the tuition fee will not be refundable to any participant dropped from the program. I certify that all of the statements made in the application are true, complete, and correct to the best of my knowledge and are made in good faith. My employer supports my participation in Leadership YOUniversity. My signature below states that I understand all items herein.

______

Applicant’s SignaturePrinted Name Date