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Leadership Gwinnett Class of 2023 Application
Leadership Gwinnett Class of 2023 Application
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Thank you for your interest in Leadership Gwinnett. This application is heavily weighted during the review process and consequently, we encourage you to give it serious consideration and sufficient time as you complete it. It is highly recommended that you scroll through the application via the NEXT tab to understand what’s being asked prior to completing. That will make the process go faster. Err on the side of more is better. We also recommend you save your responses in a separate document in case of technological issues. This application is the only tool that will be used for scoring so tell your whole story!
The due date is 5PM, March 28, 2022.
GENERAL INFORMATION
Name
First
Middle
Last
Preferred First Name
Home Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone
Cell Phone
Employer
Title
Work Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Work Phone
Email
Date of Birth
Month
1
2
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5
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7
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9
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11
12
Day
1
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2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
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2007
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2005
2004
2003
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Race
Asian
Biracial/Multiracial
Black
Hispanic/Latino
Middle Eastern
Native American/Alaska
Native Hawaiian/Pacific Islander
White
Have you applied to LG before?
Yes
No
What year?
Are you a graduate of Glance Gwinnett?
Yes
No
What year?
Do you live in Gwinnett?
Yes
No
Total years:
Do you work in Gwinnett?
Yes
No
TUITION AND FUNDING
If accepted into the Leadership Gwinnett Program, you or your company are responsible for the tuition fee of $3,500.00 which covers planned group activities and meals during the retreats, learning days, and special events. Double occupancy accommodations at both retreats. Full payment will be due by July 15, 2022, if selected for the class of 2023. Payment not received by July 15 could result in forfeiture of your class participation. Because it is both an honor and a privilege to be selected for the Leadership Gwinnett program, the highest degree of commitment is expected of all participants, including 100% attendance and participation in all activities, events, and assignments.
A limited number of partial scholarships are awarded by the Leadership Gwinnett Foundation each year. To apply for a partial scholarship, a separate application must be completed.
Click here to apply for a scholarship.
Are you planning on submitting a scholarship application?
Yes
No
Have you participated in other leadership programs?
Yes
No
Which ones?
APPLICATION FEE
A $25 application fee is required with submission of application. The fee is good for two consecutive application years. Glance Gwinnett graduates who are members of the LG Alumni Network are exempt from application fee. You can pay online at the end of this application.
LEADERSHIP GWINNETT COMMITMENT STATEMENT
Please verify that you will be available for all of the following dates and times:
New Class Orientation & Reception
August 9, 2022 | 5:00-8:00 p.m.
Fall Retreat
September 16-18, 2022 | 7:30 a.m. Fri. - 12:00 p.m. Sun.
Learning Days
October 12, 2022 | 7:30 a.m. - 6:00 p.m.
November 9, 2022 | 7:30 a.m. - 6:00 p.m.
December 7, 2022 | 7:30 a.m. - 6:00 p.m.
January 11, 2023 | 7:30 a.m. - 6:00 p.m.
February 8, 2023 | 7:30 a.m. - 6:00 p.m.
March 8, 2023 | 7:30 a.m. - 6:00 p.m.
April 12, 2023 | 7:30 a.m. - 6:00 p.m.
Spring Retreat
May 5-6, 2023 | 7:30 a.m. Fri. - 12:00 p.m. Sat.
Note: These are core times, some days may vary slightly depending on the location and activities.
Additionally, a total of eight (8) small group study discussion sessions will be held during the year with each session lasting about two hours during a week night following the Fall Retreat and each learning day. Homework assignments, including reading and research, as well as site visits (for example, Principal for a Day, facility tours, etc), may also be assigned in advance of each learning day to enhance subject knowledge and stimulate discussions during the learning day.
Can you commit to 100% participation at the above retreats, monthly learning days, and any pre-approved study group sessions and assignments, and do you agree that non-attendance/participation is reason for removal from the program?
Yes
No
If you cannot commit to 100% attendance and full engagement at this time, we encourage you to reapply at a later date when your schedule can accommodate program requirements.
Signature
Unless you are the owner of your business/organization, your director's signature will be required on the time commitment.
Please send this form to your director for approval. You can copy the link and paste it in an email.
https://www.leadershipgwinnett.com/lg-application-2023/
COMMUNITY AND CIVIC INVOLVEMENT
(Do not include business & professional activities)
Please list, in order of importance to you, the
top 3
community, civic, political, religious, social, athletic or other organizations in which you have been active. Go beyond what you are already doing for your job. List specific experiences that are taking you into the community.
Organization #1
Organization & Position
Period of Service
Organization #2
Organization & Position
Period of Service
Organization #3
Organization & Position
Period of Service
MAJOR CONTRIBUTIONS
Please list your top 3 major contributions at any of your 3 organizations listed above. (Example: what initiative did you help get off the ground?)
Major Contribution #1
Major Contribution #2
Major Contribution #3
EDUCATION AND OTHER ACHIEVEMENTS
Please list all colleges and universities attended, leadership training programs, industry certifications, or advanced credits.
All entries must include 1) the school/training/certification program name, 2) the dates attended, and 3) degree(s)/certification(s) earned.
EMPLOYMENT EXPERIENCE
Beginning with your current position, please summarize your principal employment experience and contributions. Take time to brag on yourself and share your employment accomplishments.
All entries must include 1) employment dates, 2) name of the organization, 3) size/nature of the business, 4) title, 5) brief job description, 6) a list of your principal accomplishments during this period, and 7) a list and explanation of any other previous employment of significance to you.
COMMITMENT
Be very thoughtful about your answers here. Give the reviewer very clear insight on what makes you a good candidate.
Why are you interested in becoming a member of Leadership Gwinnett?
Why do you think you would be a good candidate?
What are some of the things you would like to accomplish by participating?
COMMUNITY AWARENESS
This is the essay part of the application and your answers are weighted in the review process. Be thoughtful and complete.
In your judgment, what are the 3 most pressing challenges facing Gwinnett today?
Challenge #1
Challenge #2
Challenge #3
For the above 3 issues, write a paragraph or two on your recommendations for approaching and resolving these challenges.
Challenge #1
Challenge #2
Challenge #3
What are the greatest strengths of Gwinnett?
Submit application and application fee online by 5PM on March 28, 2022.
SUBMIT YOUR APPLICATION FEE
For any questions or concerns about the application or application process, please contact Lisa Zaken at
lzaken@leadershipgwinnett.com
For any technical questions or concerns, please contact Logan Serrano at
lserrano@leadershipgwinnett.com
I hereby certify that the information contained here is true and correct to the best of my knowledge and grant Leadership Gwinnett's designated representative the authorization to verify any information contained in this application.
Date
MM slash DD slash YYYY
Email
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