Leadership FMWF Application

Leadership FMWF Program Application

2021-22
All applications must be completed electronically. Hand-written applications will not be accepted.
(1) Personal information
Name *
Preferred first name (if different)
Email address *
Cell phone
What community do you reside in?
Years in Fargo Moorhead West Fargo area
Birthdate
Gender*
Ethnic origin*
Ethnic origin - Other
Are you able to attend all sessions?

Yes No
If not, please explain (inability to attend a session does not deter acceptance).
Please refer to Program Information for more information about missing sessions
*Leadership Fargo Moorhead West Fargo seeks to reflect the diversity of the community in its class. These questions may be answered at the discretion of the applicant.

Leadership FMWF Program Application
(2) Employment information
Business/Organization name
Work phone
Business / Organization address
Industry (NAICS)
Industry - Other
Position/Title
Supervisor
Supervisor's email
Years with employer
Briefly describe your organization and your role within it.
What do you consider your greatest career achievement/accomplishment to date?
Within your profession, what leadership roles do you envision for yourself in the next five years, and what steps have you taken to develop or grow your leadership?
If applicable, list previous positions held in the last 6 years.

Leadership FMWF Program Application
(3) Educational background

Include level of education completed, institutions, field(s) of study and degrees awarded. Also included any relevant professional accreditations, certifications, training programs, etc. There is no level of education required to be accepted into this program.
(4) Community involvement

Describe your involvement in your community, including current or previous experience with school, neighborhood, civic, religious, political, athletic, business, professional, social and cultural organizations. Explain your role in these activities. Briefly elaborate any contributions or achievements in these activities which you consider significant. Please include any other leadership programs you have participated in.
What type of community or volunteer activities would you like to become active with in the future?
Outside of work, what activities, hobbies or interests occupy your time?
(5) Program interest
How did you hear about the Leadership Fargo Moorhead West Fargo program and why are you interested?
What do you hope to gain from participation in the program?
Did you attend an information session?

Yes No
Have you previously applied for the Leadership FMWF program?

Yes No
If yes, when?

Leadership FMWF Program Application
(6) Reflection questions

Please answer the following questions. Total length per essay should be 250 words or less.
i. How will this experience contribute to your personal/professional success?
ii. How will this experience contribute to your current employer’s success?
iii. Discuss skills you have developed that will aid in your involvement in the program and future contributions to your community.
iv. Promote the FMWF community in no more than 280 characters (like a tweet).
v. Describe your vision for the future of the FMWF area and tell us what role you will play in helping achieve it. Be specific about the activities you will pursue.
vi. In your opinion, what is one of the greatest assets and one of the greatest challenges facing our community?
Letters of recommendation and Employer agreement

Two letters of recommendation are required with your application. One letter is to come from your supervisor (or if you are self-employed, someone in the community). The other letter should come from a colleague or service organization in which you are involved. The letter should explain how your background and experience would contribute to the leadership class and why you should be considered for the 2021-22 Leadership Fargo Moorhead West Fargo program.
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Interviews

Brief, 30-minute interviews will take place June 2, 3, 4, 9, 10, 11, 14 and 15. A link to schedule your interview will be sent after applications close.
Tuition assistance (optional)

To assist qualified individuals who may not otherwise be able to participate, financial assistance is available. To be considered for financial assistance, please fill out the scholarship request form and submit with your application. In addition to partial scholarships, the LFMWF program can offer an extended payment plan. Please check below if you are interested in an extended payment plan.
Please indicate your request for financial assistance, if necessary.

Partial scholarship Extended payment plan
Scholarship type

Leadership FMWF Program Application
Application checklist
Completed application must include:

Leadership FMWF program application Letter of recommendation from employer - If self-employed, letter of recommendation from someone in the community Letter of recommendation from colleague or a service or community organization in which you have been involved Applicant and employer agreement Scholarship application (if applicable)
Applications will not be considered until ALL materials are submitted.
Applications must be received by
Friday, May 14, 2021 at 4 p.m.

Questions regarding this application may be directed to:
Alyssa Lakoduk
Professional Development Coordinator
The Chamber
218.359.0529
alakoduk@fmwfchamber.com
Should be Empty:

Leadership FMWF Program Application

(1) Personal information

Leadership FMWF Program Application

(2) Employment information

Leadership FMWF Program Application

(3) Educational background

(4) Community involvement

(5) Program interest

Leadership FMWF Program Application

(6) Reflection questions

Letters of recommendation and Employer agreement

Interviews

Tuition assistance (optional)

Leadership FMWF Program Application

Application checklist

Applications will not be considered until ALL materials are submitted.

Applications must be received by Friday, May 14, 2021 at 4 p.m.

Applications must be received by
Friday, May 14, 2021 at 4 p.m.