Signature Program Application Preview
Wednesday, May 23, 2012 from 5:15-7:00 pm
Tuesday, May 29, 2012 from 5:15-7:00 pm
Opening Retreat (Mandatory):
Sunday afternoon through Tuesday, September 9-11, 2012
Monthly Sessions: Thursdays from 7:30 am – 5:00 pm:
October 11, 2012 Stark County Day
November 8, 2012 Economic Development Day
December 6, 2012 Human Services Day
January 10, 2013 Asset Building Day
February 14, 2013 Education Day
March 14, 2013 Cultural Diversity Day
April 18, 2013 Arts Day
May 9, 2013 Justice Day
June 13, 2013 Citizenship Day & Graduation Celebration*
August 29, 2013 Closing Program (half day)
*includes evening program
Please note that question 6 asks you to upload your resume. It should be no more than 2 pages long (12 pt font).
General & Contact Info
1. Please complete the following information.
First Name
Last Name
Preferred First Name
Employer
Position/Title
Work Address
City
State
Zip Code
Phone Number
Fax Number
Home Address
City
State
Zip Code
School District of Residence
Home Phone Number
Mobile Phone
Email Address
2. Have you previously applied to Leadership Stark County’s Signature Program?
When?
3. How many years have you lived in Stark County?
Education & Diversity Information
4. Please indicate your race:
5. Please indicate your gender:
6. Please submit your resume. Be sure to include career, education, and community
involvement.
Employment & Community Involvement
7. What do you consider your highest career achievement to date?
8. What do you consider your most important accomplishment in one of your
community activities?
9. If you have not had time or interest to become actively involved in the community,
what factors have changed that now enable you to seek involvement?
Essay Questions
10. Why do you want to participate in the Leadership Stark County program?
11. What are three of Stark County’s major assets and what can be done to further
develop one of these assets?
12. Five years from now, what role do you envision playing in Stark County and in
your organization?
13. Please tell us any additional information that would assist the Selection
Committee in assessing your qualifications.
Please note that if you wish to pause at any point you must click on the “Save and Continue” button at the top of each page. You will be emailed a link to resume your application.
- Please look for a confirmation email indicating that your application has been received. If you don’t get this please call the office to inquire about the status of your application.
- Each applicant is required to participate in one of the two Group Interviews scheduled for Wednesday, May 23rd and Tuesday, May 29th from 5:15 to 7:15 pm at the Canton Regional Chamber of Commerce at 222 Market Ave North in downtown Canton. You will be asked to indicate your preference.
- Your $25 application fee is due with your application. You may pay online or by check payable to Leadership Stark County.
- Please download and complete PART II (financial and participation commitment). It must be returned, signed, to our office for your application to be complete.
- Please download PART III, the Letter of Endorsement instructions. The letter of endorsement is due by April 27, 2012.
- If you wish to apply for tuition assistance, please complete the online application:
- Forms may be returned by email to joyw@leadershipstarkcounty.org
by fax to (330) 452-7786 or by mail to:
Leadership Stark County
222 Market Avenue N
Canton, Ohio 44702
Thanks to Kate and Josh Harris of In The Round Design Group, Leadership Stark County will award a Signature Program full scholarship for a young entrepreneur or small business owner.
As a small business owner, I’ve used Leadership Stark County’s programs as a development tool for myself and my team. The Signature Program had a significant impact on me – even though I’d grown up in Stark County. Most of our new employees go through both the Spotlight Stark County program for younger professionals and the one-day Encounter Bus Tour to give them community context and networking opportunities.”
Josh Harris, Owner, In The Round Design Group
22nd Signature Class Alum
Small business owners are encouraged to apply to the Signature Program and apply for tuition assistance. Scholarships are awarded to selected candidates based upon the tuition assistance application.
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