LEADERSHIP DUNCAN - CONFIDENTIAL APPLICATION For Class XXV Membership

Contact Information

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Education

School {binding ItemNumber}

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Employment

Work {binding ItemNumber}

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Community Involvement / Volunteerism

Describe volunteer roles you’ve taken (current or past participation in organizations, how you served, how your influence was felt, etc.) Describe volunteer roles you’ve taken (current or past participation in organizations, how you served, how your influence was felt, etc.) 

Service {binding ItemNumber}

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References

Please list at least three personal and/or business references with their contact information.

Reference {binding ItemNumber}

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Personal Information

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Tuition Information / Program Cost:         

Duncan Chamber of Commerce Members - $300 (non-refundable)

Non- Chamber Members - $400 (non-refundable)

 

Tuition covers all program costs, materials, meals, and on-site transportation 

Tuition is due within one week of being notified of acceptance

Tuition is payable to Leadership Duncan, c/o The Duncan Chamber of Commerce, P.O. Box 699 (911 Walnut), Duncan, OK   73534.

Tuition assistance may be available in certain instances. Is tuition assistance mandatory in order for you to participate in Leadership Duncan? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Attendance / Expected Behavior Policy:

To successfully complete the Leadership Duncan program and participate in graduation, class members MUST:

  • Attend the opening retreat - mandatory
  • Attend all classes
  • Complete any required homework assignments by the deadline assigned
  • Remain on site for the duration of each class
  • Adhere to the program’s business / business casual dress code (no jeans) unless instructed otherwise
  • Limit cell phone usage to designated break times
  • Adhere to the tobacco usage policy for each class location
  • Refrain from the use of profanity during class sessions

Please Note: Absence for more than one session will make the participant ineligible to graduate from the program.  ­­­­­­­­

If you are unable to make such a commitment, it is not in your best interest to apply at this time.

I will be able to fulfill the time commitment and will adhere to class policies:

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Additionally: A letter of commitment from your employer indicating support for program participation and time commitment must be sent to ccpres@duncanchamber.com

Deadline for applications to be received by the Chamber is Friday, June 19, 2020

 

LEADERSHIP DUNCAN - CONFIDENTIAL APPLICATION For Class XXV Membership

LEADERSHIP DUNCAN - CONFIDENTIAL APPLICATION For Class XXV Membership

Contact Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Education

School {binding ItemNumber}

Name of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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City and State of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dates Attended {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employment

Work {binding ItemNumber}

Name of Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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City and State of Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dates Employed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Position Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Community Involvement / Volunteerism

Service {binding ItemNumber}

Name of Organization {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Position/Role {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dates of Service {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Description of Involvement {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

Reference {binding ItemNumber}

Reference Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Personal/Business {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Reference Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Reference Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Personal Information

What do you hope to gain from the Leadership Duncan experience, if selected? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What specific skills / knowledge do you currently possess that could be beneficial to the Leadership Duncan program, your potential classmates, and the Duncan Community overall? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What do you see as the most significant challenge facing the Duncan area? Why? How would you approach it? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please supply any other information about yourself that you would like to provide to help us know you better. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Tuition Information / Program Cost:         

Duncan Chamber of Commerce Members - $300 (non-refundable)

Non- Chamber Members - $400 (non-refundable)

 

Tuition covers all program costs, materials, meals, and on-site transportation 

Tuition is due within one week of being notified of acceptance

Tuition is payable to Leadership Duncan, c/o The Duncan Chamber of Commerce, P.O. Box 699 (911 Walnut), Duncan, OK   73534.

Tuition assistance may be available in certain instances. Is tuition assistance mandatory in order for you to participate in Leadership Duncan? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Attendance / Expected Behavior Policy:

To successfully complete the Leadership Duncan program and participate in graduation, class members MUST:

  • Attend the opening retreat - mandatory
  • Attend all classes
  • Complete any required homework assignments by the deadline assigned
  • Remain on site for the duration of each class
  • Adhere to the program’s business / business casual dress code (no jeans) unless instructed otherwise
  • Limit cell phone usage to designated break times
  • Adhere to the tobacco usage policy for each class location
  • Refrain from the use of profanity during class sessions

Please Note: Absence for more than one session will make the participant ineligible to graduate from the program.  ­­­­­­­­

If you are unable to make such a commitment, it is not in your best interest to apply at this time.

I will be able to fulfill the time commitment and will adhere to class policies:

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additionally: A letter of commitment from your employer indicating support for program participation and time commitment must be sent to ccpres@duncanchamber.com

Deadline for applications to be received by the Chamber is Friday, June 19, 2020