Leadership Wilmington Class of 2024 Application

Leadership Wilmington Class of 2024 Application

Application to participate in the 2024 Class of Leadership Wilmington.

Before applying, please review all program details, expectations, and requirements on our website and confirm you are available to attend all sessions including the three day, two night retreat, and Work on Wilmington.
Personal Information

Name

First Name *

Last Name *

Preferred Name

Home Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Work Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Cell Phone: *

Work Email *

Which email address do you prefer to receive communication about the program? *

Length of Residence in Greater Wilmington Area: *

Gender: *

Preferred Pronouns: *

Race: *

Do you require any special accommodations or have food allergies or dietary restrictions of which we should be aware? Describe: *

Date of Birth *
Format: M/d/yyyy

Place of Birth *

Have you ever participated in another state or community leadership program? *

If yes, name of program(s) and location: *

Have you participated in Encounter Wilmington, a Wilmington Chamber of Commerce Leadership Program? *

Have you applied for the Leadership Wilmington program before? *

Why are you interested in participating in Leadership Wilmington and how will you put what you learn to use for the community? *

What does the word "leadership" mean to you? *

Education

Name/Location of High School *

Years To-From *

Degree *

Major *

Name/Location of College *

Years To-From *

Degree *

Major *

Name/Location of Graduate *

Years To-From *

Degree *

Major *

Employment

Current Employer *

Month/Year of Hire with Current Employer *

Is your current employer aware of your interest in this program and in full support of your commitment to the experience? *

Yes No

Supervisor Approving Your Participation in Leadership Wilmington

First Name *

Last Name *

Their Position in The Company *

Type of Organization/Business *

What is your job title and what are the responsibilities of your employment? *

What do you consider your most significant career achievement to date? *

Business and Professional Affiliations

Do not include civic organizations and political activities.

Name of Group, Position/Assignments, From - To *

Name of Group, Position/Assignments, From - To *

Name of Group, Position/Assignments, From - To *

Community Involvement

List community, civic, religious, political, government, social, athletic, or other activities. Do not include business and professional activities. Other community activities may be listed as an addendum to this application, if you wish.

Name of Organization, Position/Assignments, From - To *

Name of Organization, Position/Assignments, From - To *

Name of Organization, Position/Assignments, From - To *

What do you consider your most important accomplishment to date in the Wilmington community? *

General Information

This information will be used to plan sessions.

Describe what you believe to be the three most significant challenges facing the Greater Wilmington area. *

Describe what you believe to be the three most notable opportunities for the Greater Wilmington area. *

What skills and knowledge do you hope to gain from participating in Leadership Wilmington? *

Please describe your expectations about content, discussions, and speakers for each Leadership Wilmington session.

This information may be used in planning the 2023-2024 sessions.

Arts, History, and Culture *

Environment *

Education *

Health & Human Services *

Infrastructure *

Criminal and Social Justice *

Business Growth & Economic Development *

Politics and Government *

Biographical Sketch

Please attach a half-page biographical sketch and a headshot. If you are named a member of Leadership Wilmington 2024, this information will be included in the Leadership Wilmington participant notebook and will be distributed to class speakers.

Upload Headshot *

Upload Half-Page Biographical Sketch *

NOT REQUIRED: If you have a letter of support or recommendation from a current board member or alumni of the program, please feel free to share that here. If you have more than one, please combine into one file then upload.

Tuition

The cost of participation in Leadership Wilmington is $2,500. This amount covers all program costs including but not limited to meals, materials, retreats, and graduation exercises. Tuition must be paid prior to the beginning of the program.

Please send tuition invoice to: *

Applicant Applicant's Employer

Scholarship Program

It is the goal of Leadership Wilmington to make this program as accessible as possible for those willing to step forward in their roles as community leaders. To this end, a limited number of partial scholarships may be available, up to 50% of tuition.

If you would like to request tuition assistance, please briefly describe your need and why tuition assistance would impact your ability to participate in the program. There is no guarantee of availability of funds from year to year.
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