Leadership Michigan Online Application

ABOUT LEADERSHIP MICHIGAN

Leadership Michigan was instituted in 1988 by the Michigan Chamber Foundation and offers tremendous personal and professional growth opportunities for participants. The program works to: (1) inform leaders about challenges and opportunities facing our state and to encourage solutions and collaboration, (2) inspire leaders to become active in organization, community, or statewide efforts that make Michigan a better place to work and live, (3) challenge leaders to increase their awareness about themselves and their state and to maximize their leadership potential, and (4) provide an opportunity to network with a variety of individuals to strengthen personal and organizational clout.

INSTRUCTIONS

Complete each section fully and limit your answers to the space provided. After you have submitted the application, send the $100 application fee, 2 letters of recommendation, and one color photograph by December 15, 2010 to the Michigan Chamber.

SELECTION CRITERIA

Leadership Michigan will identify those individuals most likely to utilize their leadership abilities for the long-term benefit of Michigan – locally, regionally and/or statewide. Participation is open to all citizens of the state. Leadership Michigan will select a class of 25 to 35 leaders who represent the various geographic regions of the state from the public, private and non-profit sectors. Special consideration will be given to ensure diversity of race, gender and occupational background.

PROGRAM TUITION

Leadership Michigan tuition is $3,600 and covers program costs, hotel accommodations, meals, Annual Leadership Dinner, transportation during sessions, speaker fees, and materials. Participants are responsible for their own transportation to the session locations and any parking/valet fees. A limited number of partial scholarships are available for those from non-profit organizations requiring financial assistance. Please email foundation@michamber.com for the one-page application.

COMMITMENT

Leadership Michigan provides the latest information and a variety of opportunities to keep participants on top of the issues facing Michigan. In order to fulfill our commitment to you and your employer, participants must make a commitment of time and active involvement to the program. The 2011 program features six sessions held around the state between April and October. The orientation session in April is mandatory. The five following two-day sessions begin at 8:00 a.m. on Thursday and conclude at 5:00 p.m. on Friday. You are expected to attend every session. However, we understand emergencies arise, so an allowance is made for a maximum of two days that may be missed (deductions will be made in half-day increments). Absence from more than one full session or the 2-day accumulation of partial sessions will make the participant ineligible for graduation with their class. If you cannot fulfill these requirements at this time, please delay your application until you are able to make this commitment.

2011 DATES LOCATIONS (subject to change)

April 21-22,2011: ORIENTATION / CENTRAL SESSION (Midland)
May 19-20, 2011: SOUTHCENTRAL SESSION (Lansing/Jackson)
June 16-17, 2011: SOUTHWEST SESSION
(Grand Rapids)
July 21-22, 2011: UPPER PENINSULA SESSION (Marquette)
Sept. 29-30, 2011: NORTHERN SESSION (Traverse City)
Oct. 20-21, 2011: SOUTHEAST SESSION (Detroit)

GENERAL INFORMATION

First Name
Last Name:
Nickname
Title
Date Began
Employer
Type of Organization
No. of Employees
Business Address
City
State
Zip
Business Phone
Business Fax
Cell Phone
Email Address
Race*
Gender*
Age*
* This information is requested to achieve a diverse group
Name of Assistant
Asst. Phone
Asst. Email Address
   
Do you expect to remain in Michigan for at least 3 years? Yes      No
   
How did you learn about Leadership Michigan?
   


EDUCATION & TRAINING

Please include any programs or training, business or trade schools, and colleges/universities. Begin with most recent.
Institution Dates Attended Certificate/Degree


EMPLOYMENT

Briefly describe your present responsibilities or activities (limit to space provided):

What do you consider your most significant work contribution? (limit to space provided):

PROFESSIONAL, COMMUNITY OR STATE INVOLVEMENT

Please list, in order of importance to you your civic, religious, political, social, professional and/or other activities
Organization Position Held Dates Held

What do you consider your most important contribution to the above organizations and why? (limit to space provided):

 

How much time each month do you commit to community, civic, professional or other organizations? hours
 

Describe what you hope to gain from your Leadership Michigan experience. (limit to space provided):

 

Please share your opinion of the three most significant challenges facing Michigan in the next 10 years. Limit to space provided.



 

Do you have any dietary restrictions or any special accommodations required due to disability? If so, please list here and appropriate arrangements will be made for you:

 

LETTERS OF RECOMMENDATION

Applicants must submit two letters of recommendation to Leadership Michigan, 600 S. Walnut St., Lansing, MI 48933.
Letters of recommendation should describe why the applicant has potential as a future Michigan leader and how she/he can impact the local community and/or state.

COMMITMENT

I understand the purpose of Leadership Michigan and, if selected, will devote the necessary time and energy to complete the program. I realize that if I cannot fulfill the requirements listed at the beginning of this application, I will not graduate from this program. I have the cooperation of my employer, who understands my attendance requirements.

PLEASE SUBMIT:
  • your completed application
  • $100 non-refundable application fee*
  • 2 letters of recommendation (may be mailed directly from references)
  • one color photograph of yourself (high-resolution electronic photos can be emailed to foundation@michamber.com – 300dpi for .tif files and 3MB+ for .jpg files)

BY:
DECEMBER 15, 2010

TO:

Leadership Michigan
Michigan Chamber Foundation
600 S. Walnut Street
Lansing, MI 48933
foundation@michamber.com.

* Make checks payable to Michigan Chamber Foundation. To use a credit card, call the Chamber at 1-800-748-0344

Tuition balance will be due by the April Orientation Session. Special arrangements for tuition payments are made on a case-by-case basis and must be pre-arranged once applicant has been accepted into the program.

Limited partial scholarships are available for non-profit candidates. Contact Leadership Michigan for guidelines and an application at 1-800-748-0266 or foundation@michamber.com.

                                   


 
About Leadership Michigan

Program Schedule

Meet the 2010 Class

2010 Class Photos

2010 Annual Dinner

Apply Now

Alumni Information

Alumni Directory

Distinguished Leadership
Award


Leadership Michigan Dinner

2010 Sponsors

 
 
 

 

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