Junior Leadership Salina Application

Thank you for your interest in Junior Leadership Salina! To be considered for this year's class, please complete the entire form below, and submit.
Chamber representatives will be contacting you when a decision has been made. Applications are due January 10, 2020.

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Age *

Check One: *

Male Female

Phone *

School *

Parents/Guardians *

List the extracurricular activities you are involved in at your school, church and community. (List Organization and position held) *

Employment (if applicable)

Current Employer *

Date Began: *

Current Title or Responsibility *

Hours of work per week *

Please answer the following questions

The goal of Junior Leadership is to teach leadership skills, provide information and education about the diversity of this community, its challenges, its resources and its concerns. What do you expect to gain from this program? *

How do you see yourself using Junior Leadership training to expand your future civic involvement in the community? *

What are your plans after high school graduation? *

How did you learn of this program? *

Who recommended this program to you? *

Tuition
I understand that a letter of recommendation is required with this application supporting my nomination and leadership potential.

Tuition for the program is $100.00. Each participant will be responsible for paying $25. The remaining $75 will be underwritten by the Salina Business Community and the Salina Area Chamber of Commerce Foundation.

I am completely aware of the time required for Junior Leadership and I pledge my intention to attend each of these sessions. I understand that I must attend all the events to graduate. I have shared this opportunity with my parent/guardian and have been given permission to participate.

If you agree, type your name below: *

Session Dates
Each session be held on a Monday evening and will run from 5:30PM-9:00PM.

January 27: Get to Know You & Introduction to KLC Leadership Competencies
February 10: Volunteering and Non-Profit Speed Networking
February 24: Diagnose Situation
March 9: Spring Break-No Class
March 23: Manage Self
April 6: Intervene Skillfully & Local Government
April 20: Energize Other & Reflect
April 27: Graduation

Application Deadline: January 10, 2020

Submit