leadership little elm application pdf.pdf

8/14/2019 Leadership Little Elm Application PDF.pdf

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Leadership Little Elm 2014-2015

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Leadership Little Elm Application

Mission

The mission of the Leadership Little Elm program is to empower participants to participate

actively in Little Elm as members of community organizations, Town boards, and other

committees. Little Elm will benefit by having a ready resource of committed individuals that

understand not only how our community operates today, but also provides the knowledge of

the Towns future plans.

Objectives

The Objectives of Leadership Little Elm are:

1. To inform program participants about the Town of Little Elms history, government, social, andcommunity needs, and future plans.

2. To create awareness of potential leadership opportunities for participants encourageparticipants to engage in future activities of the Town of Little Elm.

3. To create an opportunity for dialogue between participants and Town, community and businessleaders.

4. To encourage participants to engage in future activities of the Town of Little Elm.5. To create a pool of knowledgeable and trained leaders who will have a positive impact on the

Town, civic organizations, and local businesses.

6. To provide participants the opportunity for growth and development both personally andprofessionally.


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Contact Information.

Incomplete applications will not be considered.Limit your responses to the space available.

Letters of recommendation are encouraged but not required.

Name: _________________________________________________________________

Name as you wish it to appear on name tag: __________________________________

CHECK PREFERRED MAILING ADDRESS, FAX and EMAIL ADDRESS:

Business Name ___________________________________________________________

City ______________________________________Zip_______ __________________

Business Phone__(______)___________________ FAX ________________________

Business Email_____________________________ _____________________________

City ______________________________________Zip_______ __________________

Home Phone__ (______) _____________________ FAX ________________________

Home Email_____________________________________________________________

Number of years you have lived in Little Elm_____________

Number of years you have worked in Little Elm ___________

How did you hear about Leadership Little Elm ___________________?

Are you or your company a member of the _______________?

Education

Include high school, college, business, trade school or other training as well as degrees and/or

certifications.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


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Current Employment

Business name ______________________________________

Your Title _____________________________Length of service with present firm _____

Previously held positions at this firm__________________________________________

Do you have the full support of your employer for the time required to participate

effectively in Leadership Little Elm? __________________

May we call your supervisor to verify this? _______ Yes _______No

Name of Supervisor/Phone # _______________________________________________

Do you want your firm to be identified in news releases? _________________________

Organizations and Activities

1. Organizations (Civic, Social, Professional, Business, Non-Profit etc.) Include dates of serviceand positions held (Include any honors or awards, if any)

______________________________________________________________________________________________________________________________________________________

___________________________________________________________________________

___________________________________________________

Background Information

2. What do you consider your best skill or personal achievement to date? Be descriptive anddont be modest!

___________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

___________________________________________________

3. Describe what you believe to be your most significant contribution to the community. (Youmay consider former communities in which you have lived.)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________

4. In your opinion what are the three most important issues facing Little Elm today?

(1) ____________________________________________________________________

(2) ____________________________________________________________________

(3) ____________________________________________________________________


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5. What skills, gifts, and experiences do you have to contribute to this years class?___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________

6. If you are chosen as a class member, what do you expect to gain from your experience?___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________

Eligibility Requirements

To be eligible applicants mustlive or work within Town of Little Elm.

Name of company, organization or individual sponsoring your application if applicable:

_______________________________________________________________________

The tuition fee for the program is nonrefundable, payable September 30th, 2015.

Responsible Party: ___Employer ___Self ___Other_____________________

It is my understanding that Leadership Little Elm is to be a learning experience and that

attendance of its monthly meetings is strongly recommended. Any participant who is absent

more than 16 hours of class time will be dropped from the program and would have to appeal

for reinstatement to the Leadership Little Elm Steering Committee.

I have answered the above questions to the best of my knowledge.

I have read and understand the eligibility requirements.

I have read and understand the attendance requirements.

I hereby give Leadership Little Elm the right to make inquiries regarding the

information provided on this application form.

Date:____________________

Print Applicant Name: _____________________________________________

Applicant Signature:________________________________________________Print Employer or Employer Representative Name:

___________________________________________________________________

Employer or Employer Representative Signature:

_________________________________________________________________

leadership little elm application pdf.pdf

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