Leadership Walton 2023-2024 Class Application

Leadership Walton is a unique and innovative approach to the traditional community-based leadership model. The program provides the opportunity to: Develop an individual’s leadership, entrepreneurial and team-building skills, increase their value to their organization, strengthen the greater community.

Applications for the 2023/24 class must be submitted by 11:59 p.m. on September 1, 2023. This application will close at that time.
Please:
* Make concise responses to each question.
* Complete each portion of the application.

Contact Gabby Kilgore-Woods with any questions at 850.892.3191 or e-mail gabrielle@waltonareachamber.com.

Please enter the information indicated below.

First Name *

Last Name *

Work Phone: *

Cell Phone: *

E-mail Address: *

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Will you be able to fulfill this commitment? *

Is your employer aware of your application? *

If applicable, has your employer authorized the required time commitment for participation in Leadership Walton? *

Company Name: *

Company Address: *

Company Phone Number: *

Current Title/Position: *

Type of Business: *

Date of Hire: *

Years in Position: *

Briefly describe your duties. *

Previous Employer: *

Title/Responsibility: *

Dates Employed: *

Previous Employer: *

Title/Responsibility: *

Dates Employed: *

What would you consider your highest responsibility, skill, or career achievement so far? *

What organizations/activities/community involvement have you participated in? Include dates and positions held in each. *

Please lists your interests and hobbies. *

What do you consider to have been a highlight or major accomplishment associated with any of the groups/activities mentioned? *

Would you prefer a male or female mentor? Or it doesn't matter *

Did you receive awards or honors? Please list/describe. *

Please list, in order of importance to you, up to three civic, business, religious, social, athletic, or community organizations not listed above in which you have been involved. *

What do you expect to gain from your participation in Leadership Walton? *

Describe what you consider to be the three most pressing issues facing the Walton County area. *

Describe what you consider to be the three biggest opportunities for the Walton County area. *

Henry David Thoreau said, "Things do not change, we change." How do you expect to change as a result of the Leadership Walton experience and how would you like to see the Greater Walton Area change? *

Tuition includes all course materials, assessments, supplies and refreshments and is $1,500 for employees of Walton Area Chamber members, or $1,775 for future Chamber members. Tuition must be received by the Walton Area Chamber by November 1, 2023. Will you, your company, or a combination make the payment of the tuition fee? *

STATEMENT OF UNDERSTANDING: I understand the purpose of Leadership Walton and if I am selected for the 2023/24 class, I will devote the time and resources necessary to complete the program. I understand that there is an attendance requirement and if more than one (1) program sessions are missed regardless of the reason, that I may be dropped from the program and that no portion of the tuition will be returned. I also understand that I will be required to attend the mandatory two-day, overnight retreat in late September 2023 (DATE TBD) and a two-day trip to Tallahassee for the 2024 Legislative Session. Discounted room rates will be available at my expense for the Tallahassee trip. In addition, I'm to schedule at least monthly meetings with my mentor to complete the program. I understand that completion of this application does not guarantee a candidate's acceptance into the 2023/24 class. All applicants will be notified if their application does not meet the requirements. Please type your full name if you agree to the statement of understanding. *

Date: *

Employer Commitment (If applicable): This application has the approval of this organization and the applicant has our full support which includes time to participate. I understand that there is an attendance requirement and if more than one (1) program session is missed regardless of the reason, that my representative may be dropped from the program and that no portion of the tuition will be returned. Please type name of organization. *

Representative and Title: *

Date: *

Leadership Walton 2023-2024 Class Application

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