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Leadership Jefferson Class of 2020
Thank you for applying for the Leadership Jefferson's Class of 2020! Please fill out the below information.
Email address *
First Name *
Your answer
Last Name *
Your answer
I have reviewed the dates and time commitment for the Class of 2020. I can attend Opening Retreat, all Monthly Sessions, and Closing Session. *
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Did you attend an Informative Meeting prior to applying for the program?
Gender
Home Street Address
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Home City, State, Zip Code
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How many years have you lived and/or worked in Jefferson Parish?
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Cell Phone Number (include area code) *
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Job Title *
Your answer
How long have you been with your current company?
Your answer
Company Street Address *
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Company City, State, Zip *
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Company Name *
Your answer
Company Phone Number (include area code) *
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Supervisor's Name *
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Supervisor's Title *
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Supervisor's Address ( if different from above)
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Supervisor's Phone Number (include area code) *
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Supervisor's Email *
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Education & Accomplishments *
Please share your most recent education as well as any other professional, personal, or academic accomplishments.
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Professional *
Please describe your current responsibilities with your company. Please include the number of team members you collaborate with and your role on the team.
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Community Involvement
Please list any volunteer work to which you have devoted time.
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How many long have you been in your current position? *
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Personal Hobbies
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Local Interests *
In your opinion, what are the three most pressing issues facing Jefferson Parish and the greater New Orleans region?
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What do you hope to gain from participating in Leadership Jefferson? *
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What personal qualities or insight do you possess that you feel will add to the Leadership Jefferson experience?
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Personal Recommendations *
Please list 2 references. Please include Name, Title, Company, and Email
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How did you hear about Leadership Jefferson?
A copy of your responses will be emailed to the address you provided.
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