THE TROY AREA CHAMBER OF COMMERCE

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Leadership Troy Application

This is your invitation for personal growth and professional development as a member of the 29th class of Leadership Troy. You will explore your leadership style and develop a plan meeting goals that align with your values and passions. Graduates become part of a wonderful network of community leaders who share the goal of making our community better.

Mission Statement

Leadership Troy is a community educational program created to increase the quality and quantity of men and women capable of accepting leadership roles in varied community organizations.


Application
HOME INFORMATION
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Cell:
Fax:
Email:
Website:

EMPLOYMENT
Present Employer:
Hire Date:
Business Address:
City:
Zip:
Business Phone:
Cell:
Fax:
Business Email:
Current Title:
How many days per month does your work require you to be out of the city?

Absenteeism will result in being dropped from the course. If you are unable to make a commitment, it is not in your best interest to apply at this time.
EDUCATION
(Begin with high school, then college(s), business or trade schools and/or specialized training.)
Name and
City of School		 Dates
(From-To)		 Degree Major
Extracurricular Activities and special honors or Awards for Leadership Activities:
Awards, Honors, Prizes for Academic Performance:
Organizations & Activities: Please list community, civic, professional, business, religious, social, athletic and other organizations of which you are or have been a member.(Use separate sheet, if necessary.)

CURRENT AFFILIATIONS: (This information will be in the Leadership Troy Directory and on the Leadership Website.)
Organization Membership Date Official Position Held

PAST AFFILIATIONS: (This information will not be published unless specified by you.)
Organization Membership Date Official Position Held

How much time each month do you commit to community, civic, professional and other organizations and activities?

Have you been as active as you would like?
If no, what have been the major barriers to your becoming involved?

If you had not previously had the time to be involved, what conditions have changed that now enable you to seek involvement in the community?

GENERAL
How long have you lived in Troy? If not a native, why did you move to Troy?
How would you describe your knowledge of community affairs?
How would you describe your activities in community affairs?
Would you accept a position on a board or committee which required you to be away from your home two evenings each month?
Does your job afford you the opportunity to attend board or committee meetings during an extended lunch period or during late afternoon working hours?

If you were to be considered an expert or advisor in one particular field, what would that field be?

IN THE SPACE PROVIDED BELOW, PLEASE ANSWER THE FOLLOWING 2 QUESTIONS.
1.) In your judgment, what are the three most pressing issues facing Troy today? Please give your reasons why and any recommendations for approaching and resolving these issues.
2.) Explain what you hope to gain from your participation in the Leadership Troy Program.


INTERNSHIP/RESEARCH PAPER REQUIREMENT

Included as part of the Leadership Troy experience is the requirement to complete one of the following experiences:
INTERNSHIP on a local COMMUNITY SERVICE BOARD from March through September. If chosen to be a participant in Leadership Troy and you choose an INTERNSHIP, you will be given an opportunity to pick your first, second and third internship choices from a supplied list of available boards. You will also be given dates and times of regular board meetings so your selection can appropriately fit your schedule. RESEARCH PAPER in a team effort of three or four individuals on a timely community topic. If chosen to be a participant in Leadership Troy and you choose a RESEARCH PAPER, you will be teamed with other participants to do a research paper on a topic selected by your team. Suggestions of topic ideas can be provided by the Troy Area Chamber of Commerce. ACTION TEAM PROJECT in a group effort of three or four individuals working on a project (not a research paper) that will benefit the community. If chosen to be a participant in Leadership Troy and you choose an ACTION TEAM PROJECT, you will be teamed with other participants to work and complete a project which will benefit the community. You and your team will select your own project. After reviewing the selections of the Leadership Troy participants, research paper, internship or project assignments will be made. We ask that you state your preference below. The Troy Area Chamber of Commerce/Leadership Troy reserves the right to cancel any of the options if there is not sufficient interest.

If you desire more information before making the above selection, please contact the Troy Area Chamber of Commerce, Phone: (937) 339-8769.

All applications must be received at the Troy Area Chamber of Commerce, 405 SW Public Square, Suite 330, Troy, Ohio 45373 by December 15th. All applicants will be notified of acceptance or non-acceptance by January 15th.

We must ask that participants commit to attend all NINE FULL DAY sessions of Leadership Troy. Are you and your employer willing to make such a commitment of time?

----Absenteeism may result in being dropped from the course. If you are unable to make a commitment, it is not in your best interest to apply at this time. Clicking the submit button below indicates you understand the time commitment and officially apply for admittance to Leadership Troy.

Financial assistance is available based on need. Anyone who wishes to be considered for financial assistance must obtain a financial assistance form from the Troy Area Chamber of Commerce and return the completed form with this application, or click here to fill out the form online. All applications are subject to confidential evaluations. Applicants should be aware that there may be more nominees than class size permits and candidates are selected exclusively on their own merits. For tuition, fee and related information refer to the Leadership Troy brochure.



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