2023-24 Leadership York Application

2023-24 Leadership York Application

Legal Name*
(Background checks must be made for one of our tours; full legal name is required
Preferred Name to be used*
Text Reminders pertaining to Leadership York Program will be sent to this number.
Email will be the primary form of communication between the committee and class. It is imperative to list the email you will most easily be reached at and respond to.
Home Address*
Length of Residence in York County*
Email will be the primary form of communication between the committee and class. It is imperative to list the email you will most easily be reached at and respond to.
Business or Current Employer Address*
Supervisor Name*
Leadership York hopes to represent a cross-section of citizens from a variety of backgrounds. Leadership York graduates bring divergent perspectives to address the needs of our area. The following information helps us to identify applicants from a cross-section of the area.
Age
Gender
Race
 
I. GENERAL INFORMATION
A. Please list community, civic, professional, business, religious, social, athletic or other organizations in which you have been active*
Organization
Dates of Membership
Official Position
 
If more fields are needed, click + for more fields.
Limited to 1000 characters
Limited to 1000 characters
Limited to 1000 characters
Limited to 1000 characters
Previous employment (if applicable):
Employer(s)
Job Title
Dates From-To
 
If more fields are needed, click + for more fields.
IV. EDUCATION (Begin with high school, then college(s), business or trade school and/or specialized training)*
Name & city of school
Dates attended
Degree
Major
 
If more fields are needed, click + for more fields.
Limited to 1000 characters
Limited to 1000 characters
Limited to 1000 characters
REQUIRMENTS: If accepted as a member of the Class of 2023-2024 of Leadership York you are required to:*
Please make sure to read information below and click the check box when read.
Frequently asked questions regarding LEADERSHIP YORK*
Please make sure to read information below and click the check box when read.
All applications must be received at LEADERSHIP YORK, 603 N Lincoln Ave, York, NE 68467 no later than 5:00 p.m. on Monday, July 28, 2023. All applicants will be notified of conditional acceptance, based on fulfillment of endorsement requirements, or non-acceptance by Friday, August 11, 2023. If accepted into the program, your business will be invoiced for appropriate tuition. All payments are due by September 1, 2023. QUESTIONS…Contact the York Chamber at 402-362-5531.
Signature of Applicant*
MM slash DD slash YYYY
Signature of Employer*
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.
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