Candidate Application
Thank you for your interest in Leadership Seneca County, a learning experience designed to help develop community awareness, networking and leadership skills. Focusing on current issues and concerns facing our communities, Leadership Seneca County is a hands-on experience that familiarizes participants with key issues throughout the greater Tiffin and Fostoria area.  Any person having an interest in the objectives of Leadership Seneca County and who is a resident of or employed in Seneca County is eligible to apply to the program. Enrollment in the class is limited to 24 participants who are chosen by a selection committee from all applications received.

Applications will be accepted until the last day of August with the first full session scheduled for the second Wednesday in September.

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First Name: *
Last Name *
Email Address *
Home Phone
Cell Phone *
Company Name/ Employer *
Company Street Address *
Company City *
Company State *
Summary of Job Responsibilities *
Supervisor/ Manager First Name *
Supervisor/ Manager Last Name *
Supervisor/ Manager Phone *
Supervisor/ Manager Email Address *
How will tuition be paid? *
How would you describe your present knowledge of community affairs? *
How would you describe your current involvement in community affairs? *
Please explain your interest in Leadership Seneca County and what you hope to gain from your participation. *
What, in your opinion, are the assets our community has to offer? *
What, in your opinion, are the most notable opportunities in our area?  How do you feel one of these opportunities could be developed? *
Please tell us about your education history. *
Include each schools name, location, years attended (from-to), degree or certificate attained and major if applicable.
Please tell us about your employment history. *
Include employers name, employers location (city and state), position or title held and the years of service (from-to) for each position.
Please tell us about any professional afficiations and/or civic organizations you are a member of. *
Include organization name, dates of membership and years of affiliation (from-to).
Application Commitment *
By submitting this form to the Leaderhsip Seneca County Program Selection Committee, I am making a commitment to participate in all activities related to the program, and will devote the time and resources necessary to complete the program.  I understand that completion of this application does not ensure acceptance into the class.  If I am selected, I agree to allow photos to be taken of me participating in Leadership Seneca County programs and event to be used in promotional, maketing and recruiting activities.
Employer Commitment *
My employer supports my participation in the Leadership Seneca County program and will give me the time necessary to participate fully and complete the Leadership Seneca County Program.
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