Challenge Class 25 Application - Leadership Greater Huntsville

Challenge Class 25 Application

Class members are based on the following criteria:

High standard of personal integrity
Record of achievement in community activities or a desire to increase community involvement
The ability to set and attain goals as demonstrated by significant career, personal or community achievements
The commitment of necessary time and effort to complete the program
Representation from a cross-section of the population

While applications are confidential, Leadership Greater Huntsville may use the information submitted by class members in printed materials (bio, name, etc.) for selected class members. To assist in selecting a class that reflects the diversity of the community, you are asked to specify your gender, race and/or ethnicity.

The class selection is based solely on the information you have submitted in the application. Please take time to complete all sections thoroughly and tell us what is unique about you.

DEADLINE FOR APPLICATION IS APRIL 30TH

"This application takes approximately 20-30 minutes to complete and must be finished in one sitting, as it cannot be saved and returned to later. We strongly encourage you to review the entire application beforehand to ensure you have all the required information and materials ready before you begin."

Fields marked with an * are required.

Applicant Information

First Name *

Please enter your preferred first name.

Middle Name

Last Name *

In what grade are you currently enrolled (24-25 School Year)? *

Ethnicity *

Gender *

Are you a U.S. Citizen *

Date of Birth *

Home Street Address *

Home Street Address Line 2

City *

State *

Zip Code *

Mobile Phone *

Please enter as ###-###-####.

Email 1 *

Personal email

Professional Bio & Education

Upload a headshot *

This will be used in the class directory and for the alumni directory.

20MB max

Professional, Civic and Social Bio *

Please write in 3^rd person, 150 words max. This will be used in the directory and will not be edited or proofread once submitted.

Name of School, City/State *

Education

Significant Community Involvement

Please list areas of involvement: *

Areas include: community, civic, religious, political, governmental, social, and athletic or other areas of involvement (organization, role and dates.)

What unique perspective or experience can you contribute to this class? *

What do you hope to gain from participation in this class? *

References
You will need to submit two references to complete this application.

Reference #1 Name: *

Enter Full Name of Reference.

Reference #1 Email: *

Reference #1 Phone Number: *

Please enter as ###-###-####.

Reference #2 Name: *

Enter Full Name of Reference.

Reference #2 Email: *

Reference #2 Phone Number *

Please enter as ###-###-####.

School Commitment Agreement
I (the applicant) certify this application has the approval of my school. I have given my counselor/advisor all program dates.

Counselor/ Advisor Name and Title: *

Counselor/Advisor Email: *

Counselor/Advisor Phone Number: *

Please enter as ###-##-###.

Electronic Signature

By typing my name in this application, I confirm: *

I understand the purpose of the Leadership Greater Huntsville program. If selected, I will devote the time and resources necessary to complete the program. Although emergencies can arise, I am aware that any participant who has not met the minimum attendance requirement for whatever reason may be dropped from the program.

I understand the above commitments and agree in signing this application to be bound by them.

If other above, please provide how you heard about us. *

Enter N/A if Other was not selected.