2011 Class Application

Home
LE History
About LE
News & Events
Support LE
Leader of the Year
2011 Class Application
2011 Class Schedule
Membership / Alumni
Board of Directors
Contact Us

2011 Application

Name:          ___________________________________________________

Address:       ___________________________________________________


Address(2):   ___________________________________________________


City: _________________________________ St: __________  Zip: ______________


E-Mail: _________________________________________________________


Phone   (H):_____________________
(W):_____________________(C):_____________________

List Past and Present business, civic, community and volunteer activities in which you have participated:




 

Provide two references who can discuss your qualifications to participate in Leadership Evergreen:


Name:  ________________________________     Name:   ________________________________


Phone:  ________________________________     Phone:  ________________________________


How Are you Acquainted?                                   How Are You Acquainted?




Please identify and discuss one particular issue, opportunity or problem you feel is important to the mountain community:





How do you hope the Leadership Evergreen program will help you fulfill your aspirations as a leader or volunteer in the mountain community:




o
Tuition is $550. A few partial scholarships are available. Please check the box if you need
         financial assistance to attend this program.

Participants Agreement:
If accepted as a participant in the Leadership Evergreen program, I agree to the following:

During the program: attend all sessions ( More than two absences will delay graduation) and participate in a class project.

Following graduation: seek opportunities to utilize leadership skills and abilities for the good of the mountain community; sustain and perpetuate the Leadership Evergreen program.


 


info@leadershipevergreen.org
P.O. Box 963 Evergreen, Colorado 80437-0963