Leadership Perry 2024 Application

Leadership Perry consists of ten (10) informative and interactive sessions designed to educate participants about key community issues facing the Perry area while imparting relevant leadership skills through adaptive and reflective learning experiences. The program is typically held once a month in different locations throughout Houston County. During one of the monthly classes, a trip to the State Capitol will be scheduled. Program graduation will take place in December 2024. Date TBD.

Without situational approval, participants may only miss two of the scheduled sessions in order to successfully complete PL. Attendance at the Orientation is vital to the program’s success. Additional hours may be required outside of normal class meetings to meet program requirements. PL tuition is $700.00 for PACOC members or $1000.00 for non-members.

Name

Title

First Name *

Last Name *

Suffix

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Employer *

Employer Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Title/Position *

Number of Years in Position *

Which of the following best describes your present position? Please check all that apply *

Business Education (primary, secondary, higher) Government Industry Non-Profit Professional Religion Social Service Volunteer

Major Job Responsibilites *

What do you consider to be your highest career achievement so far?

EDUCATION (Begin with high school, college, advanced degrees and/or specialized trainings.)

Please explain in detail three civic, business, religious, political, or social activities that you have participated in within the past three years in the Perry area. Please indicate the name of the organization, your assignment or position, and briefly describe your responsibilities

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

What do you consider to have been a highlight or accomplishment associated with any of the groups/activities mentioned above?

If you are selected to participate in the Perry Leadership (PL) class, what are your goals for involvement in the community?

List your strongest leadership characteristics. How can you benefit from further leadership training and development? *

What do you expect to gain from your participation in Perry Leadership? *

What are the three most pressing issues facing Perry and Houston County and why? *

What is or can be your role in addressing these issues? Please be specific: *

Describe how you plan to apply your enhanced skills and knowledge to benefit Perry and Houston County. *

Leadership Perry 2024 Application

Perry Area Chamber of Commerce