2022 - 2023 Leadership Gainesville Application

Leadership Gainesville Application

2022 - 2023
REQUIREMENTS OF PARTICIPATION

Applicant and Supervisors, please read before signing below.
1. No applicant shall be excluded on basis of age, sex, religious preference, disability, national origin or race.
2. Applicants must live or work in Cooke County.
3. An Applicants business or organization must be members in good standing of the Gainesville Area Chamber of Commerce.
4. Applicants must be a senior in high school or older.
5. Prior non‐acceptance of an applicant does not affect future consideration for selection.
6. All applications must be completed and received at the Chamber office on or before Friday, July 29, 2022 by 5 PM.
7. The Leadership Gainesville class will consist of a maximum of 15 participants. Tuition of $400 must be received at the Chamber office by Thursday, September 8, 2022. The first session will begin Thursday, September 8, 2022 at 6:00 PM. This Meet & Greet will be an orientation for everyone to get to know each other and kick off our program.
8. The Leadership Gainesville Advisory Board will have the authority to dismiss a participant with no exceptions and no tuition refunds for failure to attend at least seven sessions, or any portion thereof. You are required to attend the Meet & Greet Social, the State Government Trip, and Graduation. Those who fail to attend these 3 events without prior permission will not be allowed to graduate.
9. The sessions are scheduled for the second Wednesday of each month with exception of the Meet & Greet Social (Thursday evening) and the State Government Trip (two day trip to Austin, TX). Details of the trip will be given in advance for arrangements to be made.
* Tuition covers costs for meals (breakfast snacks and full lunch), instructional materials, honorariums, overnight trip to Austin and other miscellaneous expenses.
COMMITMENT PLEDGE
Leadership Gainesville is designed to be a learning experience and requires attendance at the orientation and monthly meetings, which are full day sessions over a nine-month period. Each participant will be expected to maintain an attendance record in accordance with the Leadership Gainesville By‐Laws, which read as follows:

"Any participant missing more than two sessions, or any portion thereof, shall be dropped from the program without refund. Participant attendance is mandatory."

A certificate will be awarded for the successful completion of the program.
1. I wish to participate in the Leadership Gainesville Program.
2. I have my company's / organization's support for my participation.
3. I will be able to attend the 9 monthly sessions. The sessions are scheduled for the second Wednesday of each month with exception of the Meet & Greet Social (Thursday evening) and the State Government Trip (two day trip to Austin, TX).
4. I will send my $400 check for the tuition fee by Thursday, September 8, 2022. I understand that the tuition fee will not be refundable to any participant dropped from the program.
CLASS SCHEDULE

Thursday, September 8	Meet & Greet Social
Wednesday, October 12	Municipal Government
Wednesday, November 9	Agriculture
Wednesday & Thursday, December 14-15	State Government Trip
Wednesday, January 11	County Government
Wednesday, February 8	Education
Wednesday, March 8	History, Arts & Culture
Wednesday, April 12	Business & Industry
Wednesday, May 10	Healthcare + Graduation

Questions?

Leadership Gainesville Advisory Board
Gainesville Area Chamber of Commerce

311 South Weaver Street, Gainesville, Texas 76240
(940) 665 - 2831 | info@gainesvillecofc.com

www.gainesvillecofc.com/leadership-gainesville

PERSONAL INFORMATION
Name *

First Name Last Name Nickname (if applicable)
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
City-State of Birth *

Street Address

Street Address Line 2

City State
Shirt Size *
Cell Phone # *
Please enter a valid phone number.
Email Address *

Confirmation Email example@example.com
EMERGENCY CONTACT INFORMATION
Emergency Contact Name *

First Name Last Name
Emergency Contact Relationship *
Emergency Contact Phone # *
Please enter a valid phone number.

BUSINESS INFORMATION
Business Name *
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Phone # *
Please enter a valid phone number.
Business Title *
As you want it published / broadcast
Work Responsibility *
Give a brief description of your work responsibility

Optional Information
Date of Birth

Month Day Year
Date
Spouse's Name

First Name Last Name
How long have you lived in Cooke County?
How long have you worked in Cooke County?
Education
High school (city), college, business/trade school and/or other specialized training

Community Involvement

Organizations and Activities: List all community, civic, professional, business, social, athletic and other organizations of which you have been a member during the past five years.

	Organization	Dates	Position Held

Have you been as active in civic activities as you would like to be? *

Yes No
What do you hope to gain from your involvement in Leadership Gainesville? *
In your judgment, what are the three most pressing problems facing our community or society today?
1. *
2. *
3. *

HOLD HARMLESS AGREEMENT
By signing this application, I agree to hold harmless the Gainesville Area Chamber of Commerce and any business entity or persons associated with the Leadership Gainesville Program in the event an accident occurs while participating in the activities and tours throughout the entirety of all class sessions.
Applicant's Signature *

Clear
Date *

Month Day Year
Due to this program taking place during business hours, we require your supervisor's permission to participate in the Leadership Gainesville Program.

Supervisors, please review the Leadership Gainesville Program dates listed in this application to ensure that your employee has no conflicts and confirm that they will be able to meet attendance requirements.
Supervisor's Name (Print) *
Supervisor's Signature *

Clear
Date *

Month Day Year
Questions?

Leadership Gainesville Advisory Board
Gainesville Area Chamber of Commerce

311 South Weaver Street, Gainesville, Texas 76240
(940) 665 - 2831 | info@gainesvillecofc.com

www.gainesvillecofc.com/leadership-gainesville
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Leadership Gainesville Application

REQUIREMENTS OF PARTICIPATION

COMMITMENT PLEDGE

CLASS SCHEDULE

PERSONAL INFORMATION

EMERGENCY CONTACT INFORMATION

BUSINESS INFORMATION

Optional Information

Community Involvement

HOLD HARMLESS AGREEMENT