Leadership Hardee Class of 2023 Application

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Tuition for the 2022-2023 Leadership Hardee Program is $550 per participant (10% discount for early applications submitted prior to May 20th = $495), and includes meals and transportation during class days, and materials for sessions.

Leadership Hardee is committed to including qualified applicants. Payment can be made by participant, their employer or a combination of both. Scholarships are limited but will be considered with statement of eligibility.

Applicants convicted of a Felony or any type of sexual assault will not be considered.

All applicants are subject to a background check.

Email *

Last Name:

First Name:

Employer:

Job Title:

Home Address:

Business Address:

Cell Phone:

Business Phone:

Employment Information - Present Employer:

Start Date:

Job Title:

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

Reference #1) Name/Title: Relationship: Phone:

Reference #2) Name/Title: Relationship: Phone:

I agree to pay the asked amount of the Leadership Hardee tuition for the applicant if accepted. I understand the tuition is nonrefundable and nontransferable. Signature (Type out full name):

Today's Date:

YYYY

Have you participated in another Community Leadership program?

Yes

Clear selection

If yes, please list the program(s) and the year(s) of participation:

Have you applied to Leadership Hardee in the past?

Yes

If yes, how many years?

Clear selection

How did you learn about Leadership Hardee?

Highest Degree of Education - Name Of Institution:

Location:

Degree/Major

Year

COMMUNITY CONNECTIONS Please list, in order of importance to you, your business/professional affiliations, as well as involvement in civic organizations, business & community board service, and volunteerism.

Organization / Activities / Position / Date of Membership

ESSAY QUESTIONS Keep in mind that your answers are the only tool the Selection Committee has to learn about you, as we do not conduct interviews or accept letters of recommendation. Give yourself enough time to complete the questions thoughtfully.

COMMUNITY VISION: What assets and strengths do we have in Hardee County that you are proud of?

Which challenge(s) facing Hardee County are you most passionate about, and why?

PERSONAL STATEMENT: Why do you want to participate in Leadership Hardee? Why should you be selected for Leadership Hardee Class 2021?

SCHOLARSHIP CONSIDERATION STATEMENT: Tuition for the program is $550 ($495 for early submission) which includes all class expenses. 1-FULL / 2-PARTIAL Scholarships are available with a written request for funding detailing the reason for financial need. If you would like to be considered, please leave statement below:

Application Agreement If Accepted:

I understand that any funds generated by the class fundraiser will be distributed by Hardee Community Foundation?

I have cleared my calendar on the appropriate dates. {1st Wednesday monthly}

I will attend or participate in the 3 mandatory events: orientation, class fundraiser and graduation ceremony?

I will attend a minimum of 7 out of the 9 day-long class days?

I understand that if I miss 3 class days OR any of the mandatory events, I will no longer be a participant in the program?

I understand that the tuition is due by Monday. Aug 3rd, and that I am personally responsible for any portion of tuition not paid by my employer? *If Employer pays for any part of tuition, they will be notified of any absences

Other:

APPLICATION CHECKLIST:

Did you fully complete the application?

Did you answer ALL essay questions and limit your answers to the space provided?

Application delivered via email or mail by Monday, June 3rd 2022 at 4:00pm

Other:

I, (INSERT LEGAL NAME BELOW) agree to be bound by commitment if I am selected for Leadership Hardee:

A copy of your responses will be emailed to the address you provided.

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