Leadership Hardee Class of 2022 Application
Tuition for the 2021-2022 Leadership Hardee Program is $550 per participant (10% discount for applications submitted prior to March 1st = $495), and includes meals and transportation during class days, and materials for sessions.

Leadership Hardee is committed to including qualified applicants. Payment can be made by participant, their employer or a combination of both. Scholarships are limited but will be considered with statement of eligibility.

Applicants convicted of a Felony or any type of sexual assault will not be considered.

All applicants are subject to a background check.
Email *
Last Name:
First Name:
Employer:
Job Title:
Home Address:
Business Address:
Cell Phone:
Business Phone:
Employment Information - Present Employer:
Start Date:
Job Title:
Briefly describe your greatest responsibility, skills and/or career achievement:
Reference #1) Name/Title: Relationship: Phone:
Reference #2) Name/Title: Relationship: Phone:
I agree to pay the asked amount of the Leadership Hardee tuition for the applicant if accepted. I understand the tuition is nonrefundable and nontransferable. Signature (Type out full name):
Today's Date:
MM
/
DD
/
YYYY
Have you participated in another Community Leadership program?
Clear selection
If yes, please list the program(s) and the year(s) of participation:
Have you applied to Leadership Hardee in the past?
Clear selection
How did you learn about Leadership Hardee?
Highest Degree of Education - Name Of Institution:
Location:
Degree/Major
Year
COMMUNITY CONNECTIONS Please list, in order of importance to you, your business/professional affiliations, as well as involvement in civic organizations, business & community board service, and volunteerism.
Organization / Activities / Position / Date of Membership
ESSAY QUESTIONS Keep in mind that your answers are the only tool the Selection Committee has to learn about you, as we do not conduct interviews or accept letters of recommendation. Give yourself enough time to complete the questions thoughtfully.
COMMUNITY VISION: What assets and strengths do we have in Hardee County that you are proud of?
Which challenge(s) facing Hardee County are you most passionate about, and why?
PERSONAL STATEMENT: Why do you want to participate in Leadership Hardee? Why should you be selected for Leadership Hardee Class 2021?
SCHOLARSHIP CONSIDERATION STATEMENT: Tuition for the program is $550 ($495 for early submission) which includes all class expenses. 1-FULL / 2-PARTIAL Scholarships are available with a written request for funding detailing the reason for financial need. If you would like to be considered, please leave statement below:
Application Agreement If Accepted:
APPLICATION CHECKLIST:
I, (INSERT LEGAL NAME BELOW) agree to be bound by commitment if I am selected for Leadership Hardee:
A copy of your responses will be emailed to the address you provided.
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