2020 Leadership Missouri Application Form
Selection Process
Candidates will be selected primarily on the basis of prior leadership experience and the desire to become a more effective leader. A special subcommittee from the Missouri Chamber of Commerce and Industry will make the final selections.
Tuition and Funding
The Leadership Missouri tuition fee is $2,000 for Missouri Chamber member organizations and $2,300 for non-member organizations.

The enrollment fee covers scheduled class meals, breaks, group transportation, class materials, other organizational
costs and Leadership Missouri Alumni membership. The candidate is responsible for room costs and other out- of-pocket expenses not directly related to Leadership Missouri.

A non-refundable application fee of $30 for members or $50 for non-members must accompany the application.

Do not send tuition fee with application! Those accepted in the program will be notified by March 1, 2020. Tuition must be paid by March 30, 2020. Applicants who have not paid tuition by March 31, 2020 will not be eligible to participate in program. No tuition refunds will be made.
Attendance
You are expected to attend every session. However, with prior approval from the director you will be allowed to miss one segment, or 16 hours. If more than 16 hours are missed you will need to make up a segment during the following year in order to graduate.
Scholarships
The Leadership Missouri Alumni Association provides an opportunity for partial scholarships for candidates representing non-profit organization or small businesses. Complete the scholarship application at www.mochamber.com. If your participation hinges on the availability of such scholarships, please contact Tammy Long at (573) 634-3511.
To Apply
Fill out the form below and submit.

Applications may be submitted at any time throughout the year.

FOR MORE INFORMATION on Leadership Missouri, please contact:
Tammy Long
Director of Leadership Missouri
Phone: (573) 634-3511
Cell: (660) 238-4914
Fax: (573) 634-8855
Email: tlong@mochamber.com
Name *
Your answer
Title *
Your answer
Current Company/Organization *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone *
Your answer
Fax *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Home Address *
Your answer
City, State, Zip *
Your answer
Which of the following best describes your present employment? *
Briefly describe your current job responsibilities: *
Your answer
Education (School, Degree, City) *
Your answer
Program Goal: What do you hope to gain from Leadership Missouri? *
Your answer
Leadership Involvement (Organization, Responsibilities, Dates of Service) *
Your answer
Leadership Involvement: Please list two references who are knowledgeable about the applicant's leadership activities. (Name, Title, Company, Phone Number) *
Your answer
Statement of Commitment
We understand the need for responsible participation at all Leadership Missouri classes and will devote/authorize the time and funds necessary to complete the program. We also understand there will be no tuition refunds, under any circumstances, after March 31, 2020.
Applicant's Signature and Date *
Your answer
Employer's Signature and Date *
Your answer
Submit
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