Leadership Troy Application | 2027 Cohort - Troy Area Chamber of Commerce

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🔸 PERSONAL INFORMATION 🔸

Today's Date

First Name

Last Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone

Cell Phone

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🔸 EMPLOYMENT INFORMATION 🔸

Present Employer

Title

Business Phone

Business Email

Business Address, City, State, Postal

How many days per month does work require you to be out of town on business?

ABSENTEEISM *

Absenteeism (in whole or part) will result in being dropped from the course. If you are unable to make a commitment, it is not in your best interest to apply at this time. Please type your initials in the box below to indicate you understand the importance of attendance.

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🔸 EDUCATION / TRADE 🔸

Education / Training Information

College(s), business or trade school and/or specialized training.
School / Dates/ Degree/ Major

School	Dates	Degree	Major	Comments

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🔸 ORGANIZATIONS & ACTIVITIES 🔸

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

Organizations & Activities

Please list community, civic, professional, business, religious, social, and other organizations of which you are currently involved or a member.

Organization Name	Date of Membership	Official Position(s) held	Other

Past Organizations or Affiliations

Have you been as active in the community as you would like?

Yes

If not, what have been the major barriers to your becoming involved?

Please share if those barriers have been lifted.

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🔸 ESSAY QUESTIONS 🔸
Please complete the following essay questions. Please note that these questions play an important role in the decision process when forming the LT class.

In your judgement, what is one pressing issue facing Troy today and how would you solve it? *

Please share your thoughts in an extended (essay) format.

Note: the question is two part. What is the issue and how will you solve it?

Explain what you hope to gain from your participation in the Leadership Troy Program. *

Please share your thoughts in an extended (essay) format.

Why should the Selection Committee choose you for this year's class? *

Is there anything else the Selection Committee should know?

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🔸 EXTERNAL REQUIREMENTS 🔸
Included as part of the Leadership Troy Program experience is the requirement to complete the following experiences:

Participation in Community Impact Day (May Session) *

As a participant you will be asked to participate in Community Impact Day. CID is a project driven event that will benefit the community. Participation in this project will include time outside of the regular class hours. Please indicate that you understand that this is part of the commitment.

I understand.

BOOK STUDY within the Leadership Troy program. Participants will be required to read a book.

If chosen to be a participant in Leadership Troy, you will be required to read a leadership book provided by the program for the purpose of discussing and exploring how to lead.

I understand.

Commitment *

We must ask that participants commit to attend orientation and all NINE FULL DAY sessions of Leadership Troy.

Class session dates can be downloaded here.

I understand.

My annual tuition will be paid by:

Note: Program tuition is $650 for Troy Chamber members and $850 for non-members.

Myself

My employer (contact information required)

Third Party (contact information required)

Employer or Third Party Contact information: (include name, address, phone and email address)

Billing Contact Name	Billing Contact Organization	Billing Contact Email	Billing Contact Phone	Other

Please verify that you have checked the “I'm not a robot” checkbox.

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