Advanced Leadership 2023 Application
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Name:
Employer/Organization:
Employer/Organization Address:
Cell Phone:
Work Phone:
Email:
Date of Birth:
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Commitment:  One full weekday on the fourth Wednesday of each month-January through June.  I understand the purposes of the Advanced Leadership Program and if I am enrolled, I will devote the time and resources necessary to complete the program, including any and all necessary coursework.  Attendance, All Day, every day, at all monthly sessions, is critical to the understanding of the program and to the members of the class.  Absences for personal or professional reasons must be approved in advance by The Chamber Executive Director.  Absences must be reported to The Chamber of Manitowoc County by 7:45 a.m. on the morning of a  scheduled class day.  More than two (2) absences may be reason for dismissal from the program with no portion of the tuition to be refunded.  Attending only partial days is not permitted, unless approved by the Executive Director, and/or in case of an emergency.  I understand the above commitments and agree to be bound by them in signing this application.  Applicant name will be accepted as a signature:
Date:
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This application has the approval of this organization and the applicant has our full support to participate in the program.  Our organization will fulfill all tuition obligation(s) with the understanding that tuition may not be refundable.  Employer Name will be accepted as signature:
Date
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Title
Organization
Submit completed application by Friday, December 17th, 2021
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