Application for LEAD & LEARN Calaveras 2024
*Applications are due by June 16th, 2024

Applicants Must Show:
(In no particular order of importance)
  • Potential, or demonstrated, leadership abilities
  • Community interest and involvement
  • Desire to assume expanded leadership responsibility 
Any additional questions can be submitted by email to admin@calaveras.org.

 
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Applicant Information
First and Last Name *
Cell Phone *
Work/Employer Phone *
Email Address *
Mailing Address 
Number, Street, Apt #
 *
Business/Organization *
Business Address 
Number, Street, Apt #
City, State, and Zip
 *
Education
*optional
School 1
(School Name, Location, Dates Attended, Degree/Major)
School 2
(School Name, Location, Dates Attended, Degree/Major)
School 3
(School Name, Location, Dates Attended, Degree/Major)
Have you participated in a leadership program in Calaveras or another community? *
If answered "yes" above, please describe your leadership program experience. 
Community Involvement
*optional
Please list any/all service organizations in which you actively participate
Including civic, religious, political, government, social, and athletic
Questions/Essay
Please answer the following questions or prompts.
Why do you want to participate in the Leadership Calaveras program? *
Describe what you consider to be your most important community accomplishment. *
What are three major issues and/or significant opportunities facing Calaveras County today? *
What specific recommendation(s) would you make to address an issue, or develop an opportunity, based on your answers above?  *
Applicant Agreement
If applying electronically, by selecting "I understand/agree" the applicant acknowledges that the Calaveras County Chamber of Commerce will use the following answer as an electronic signature. 
I understand the purpose of Leadership Calaveras and, if selected, I will commit the time necessary to complete the program. I will attend the required sessions and complete any assignments given to the best of my ability. I will devote time for additional work to take place outside of the regularly scheduled classes, to complete the Leadership Calaveras Project. I understand that if I have more than three absences during the course of the program, I will not graduate and will not complete the program. I will be automatically dismissed from the program and no portion of the tuition shall be refunded. I accept these requirements and am willing to make this commitment.   *
Applicant Signature
(If applying virtually, type in full name)
 *
Applicant Signature Date *
MM
/
DD
/
YYYY
Please add the name, email, and phone number of your supervisor, who can give you permission to participate in Leadership Calaveras 2024.  *
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