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LGBT Chamber FoundationLGBT Leadership Institute

LGBT Leadership Institute Application

   

 SECTION A: BASIC INFORMATION

Please provide your Legal First Name. You may enter your Preferred First Name in the Preferred Name field below.












Employer Information









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LGBT Chamber FoundationLGBT Leadership Institute

LGBT Leadership Institute Application

How did you hear about this program?
Your Demographic Information

The following information is required to ensure diversity within this program.


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LGBT Chamber FoundationLGBT Leadership Institute

LGBT Leadership Institute Application

   

 SECTION B: DISCUSSION ITEMS

The following discussion questions are a critical part of your application. Please answer each of them fully to the best of your ability.

 1. What are your job responsibilities?
(limit to approx. 500 words)
 2. How do you define leadership?
(limit to approx. 500 words)
 3. Provide an example of your leadership experience.
(limit to approx. 500 words)

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LGBT Chamber FoundationLGBT Leadership Institute

LGBT Leadership Institute Application

   
 SECTION C: RECOMMENDATIONS
Please attach two letters of recommendation. If possible, one letter should be from your employer or immediate supervisor/manager.
Letter of Recommendation #1




Letter of Recommendation #2




LGBT Chamber FoundationLGBT Leadership Institute

LGBT Leadership Institute Application

 SECTION D: PAYMENT

Tuition for this program is $1,500. Tuition must be paid prior to orientation session.

Employer Commitment

My LGBT Leadership Institute tuition will be paid by:
Enter the name and email address of the person responsible for paying tuition.


Scholarship Information
A select number of full and partial scholarships are available. Scholarships are awarded solely on the basis of documented financial need and availability of scholarship dollars. Proof of financial need may be requested.

Scholarship amount requested: $


It is my understanding that LGBT LEADERSHIP INSTITUTE is a learning experience and requires attendance at its monthly meetings. The Orientation session, which is mandatory, will be held in August, 2021, with subsequent meetings on the second Friday of each month beginning on September 10, 2021 and continuing through May 13, 2022. Any participant missing any part of either Orientation or more than two sessions (or equivalent hours) will not graduate.

The size and make up of each LGBT LEADERSHIP INSTITUTE CLASS is carefully considered to ensure that it is broad based, representing a variety of professional, economic, social, and ethnic backgrounds. This means that many highly qualified applicants cannot be accepted the first year they apply. We encourage you to re-apply should you not be accepted this year.

I hereby give LGBT Leadership Institute/LGBT Chamber of Commerce Foundation the right to make inquiries regarding the information provided on this application.
NOTE: When you have completed this application click on the "Go to eSignature" button. This will refresh the screen so you may review your application before signing. Once the screen refreshes, scroll down to review the application.