First Name *

Last Name *

Email *

Organization *

Phone *

Title

Address Type

Work / Branch / Home

Address Line 1

Address Line 2

City

State

Postal Code

INSTRUCTIONS *

INSTRUCTIONS:  Please complete each section fully. Limit answers to the space available. Application must be filled out by applicant and employer/sponsor and submitted no later than August 18^th.

SELECTION CRITERIA:  Participation in Leadership Fremont is open to any person living and/or working in the Bay Area.  A maximum of 16 people may be appointed to participate in the program. Since the number of appointments is limited, applicants who are not selected are encouraged to reapply in subsequent years. Participants will be chosen by the Leadership Fremont Selection Committee. The Committee will seek representation from a cross-section of our diverse community. Candidates should be active in business, education, the arts, religion, government, community-based organizations, or ethnic/minority groups.  Applicants should have positions of leadership in their business or volunteer organizations, give evidence of mature judgment, and have a strong interest in and commitment to the community. Applicants must have the full support of the organization he or she represents. 

ATTENDANCE REQUIREMENTS: Applicants are required to attend an orientation session that includes an overview of the program, discussion of skill-set objectives, and a review of class project goals and requirements. Orientation is followed by a reception with the Leadership Fremont Steering Committee, alumni, and the Fremont Chamber Board of Directors. The program includes nine day-long sessions from September through May and a graduation ceremony. Sessions run from 8:30 a.m. to 5 p.m. and include a working lunch. They are held at a variety of locations, each chosen based upon its relevance to that session’s topic or skill. Attendance at the orientation and monthly sessions is mandatory. Those who do not meet the attendance requirements may be asked to withdraw with no refund of tuition. In addition, there are other events scheduled throughout the year you may be expected to attend. They may include, but are not limited to, a Fremont City Council meeting, a Business Networking Event, Connection Club Meeting, and the annual State of the City. 

TEAMWORK PROJECT:  Each class must complete a community service project. The project is a culmination of the leadership skills and community opportunities learned throughout the class. An outcome of the project should engage and enhance the community. The class works with the facilitator to choose and implement its project. Although time may be allowed during sessions to work on the project, students will be required to meet outside the sessions in order to complete the project.

TUITION: Tuition for Leadership Fremont is $1,800. Chamber members receive a $400 discount. A student must remain a Chamber member in good standing throughout the duration of the program in order to graduate at the member pricing. Tuition includes all instruction, materials and meals. If accepted into the program, you or your company/organization will receive an invoice for tuition. Full tuition must be paid by the first session unless other arrangements have been made. Tuition is fully earned once remitted and there is no refund for drop-out or cancellation. Non-members may apply $400 of the tuition towards Chamber membership if the membership application is received within 30 days of the orientation session. For more information contact the Fremont Chamber of Commerce at (510) 795-2244.

APPLICATION DEADLINE IS AUGUST 18.

Notification of acceptance will be sent by August 18.

Yes, I have read the instructions

No

List your current employer, type of business, your responsibilities, and employment start date. *

List your current employer, type of business, your responsibilities, and employment start date.

Employment achievement *

What do you consider to be your highest career achievement to date?

Professional Organizations/Affiliations *

List any professional or business organizations in which you participate. Do not include civic organizations, public office or political activities.

Community Involvement *

List other organizations in which you participate.  Include community, civic, religious, political, government, social, athletic or other activities.  Indicate your role in each organization.

Community accomplishments *

What do you consider to be your most important accomplishment in any one of the above organizations and why?

General info - three significant problems *

What do you feel are the three most significant problems facing Fremont and/or the Bay Area today?

General info: 3 opportunities *

What are the three most notable opportunities Fremont and/or the Bay Area have to offer?

General info: what skills do you hope to gain *

What specific skills/knowledge do you hope to gain from your participation in Leadership Fremont?

Applicant's Commitment to Participate *

I understand the purpose of Leadership Fremont and, if I am selected, I will devote the time and resources necessary to complete the program. I understand that I may not be absent from more than two sessions of the program. Should I be absent for more than two sessions, I understand that the Steering Committee will determine whether I am eligible to graduate. If the Steering Committee determines I am no longer eligible for graduation, I will not receive a tuition refund.

Yes, I agree

No

Will your employer/sponsor pay the tuition fee? *

Will your employer/sponsor pay the tuition fee?

Yes, my employer will pay

No

Employer's Commitment

This application has the approval of this organization. The applicant has our full support to participate in the Leadership Fremont program, which includes the time off required to participate and full payment of tuition.

Employer/sponsor: enter the contact information of the supervisor/sponsor responsible for tuition payment.

Payment

Tuition for Leadership Fremont is $1,800. Chamber members receive a $400 discount. A student must remain a Chamber member in good standing throughout the duration of the program in order to graduate at the member pricing. Tuition includes all instruction, materials and meals. 

Full tuition must be paid by the first session unless other arrangements have been made. 

Tuition is fully earned once remitted and there is no refund for drop-out or cancellation. Non-members may apply $400 of the tuition towards Chamber membership if the membership application is received within 30 days of the orientation session.

Leadership Fremont Tuition

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Chamber Member Price: $1,400 << CLICK TO PAY

Non Member Price: $1,800 << CLICK TO PAY

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