Leadership Loomis – Loomis Basin Chamber of Commerce

This program is designed to:

Educate leaders about public agencies and community-based organizations that serves the town of Loomis.
Inspire community members to become active leaders.
Provide networking opportunities to build relationships that foster goodwill and a spirit of cooperation.

APPLICATION FOR LEADERSHIP LOOMIS PROGRAM

Please fill out the confidential online application form below

Preference will be given to applicants who live or work in the Loomis Area. Applicants must be at least 21 years of age to go through the program. All applications will be handled in the strictest confidence. Consider optional any questions you feel will not significantly add to the committee’s knowledge of your qualifications. Please be brief in your responses. Finalists will be selected and interviewed based on application material submitted. All interviews will be conducted by a selection committee.

Name

Last Name

Phone Number

Home Address

Employment

Employment ( Current Employment is not necessary for enrollment)

Employment Date

Business Type

Title

Phone Number

Briefly describe you responsibilities

Previous Employment ( Begin with most recent.)

Start Date

End Date

Title / Responsibilities

Skills, Goals (What would you consider your highest responsibility, skill, or career achievement so far?)

Career Goals

Education

School Name

Start Date

End Date

Degrees

Majors

Organizations/ Activities
Community Involvement

Major role at this time

Please list, in order of importance to you, other community, civic, professional, business, religious, social, athletic, and other organizations of which you have been a member

Major role at this time

Dates of Memberships

Official Positions Held

Accomplishments

What have you accomplished as a leader in any one or more of these activities that you think are important?

Please list any special awards/accomplishments:

What are your areas of particular interest for leadership involvement (e.g., education, human services, government, religion)?

General

What do you hope to gain and how do you expect to utilize your LEADERSHIP experience?

Please identify and discuss a particular issue, opportunity or problem crucial to Loomis as a community. (Be specific.)

What are your community service goals?

Tuition

For each Member-Nonmember, Tuition is nonrefundable and must be paid prior to the first class. How will your tuition be paid?

Employer Personally Request Scholarship Assistance Other

Schedule - (Loomis Leadership Program requires full participation on the following dates: Interviews (week of Aug 23-27) Wednesday, September 01, 2021 October 06, 2021 November 03, 2021 December 01, 2021 January 05, 2022 February 02, 2022 March 02, 2022 April 06, 2022 May 4, 2022 June 1, 2022

Curriculum -The Loomis Leadership Program focuses on developing and enhancing leadership skills and provides exposure to a wide range of community issues including • History of Loomis • Transportation • Human Services • Future of Loomis • Recreation • Regional Planning • the Arts • Utilities • Government • Public Safety • Education • Infrastructure • Economic Development • Health Care • Loomis Civics • Tourism

Participation

In order for the Loomis Leadership Program to accomplish its stated goals, the full participation of each individual is necessary. Participation as a team member in a class project is a requirement of the program as are the guidelines stated below:

More than two absences during the program year will result in being dropped from the program with no tuition refund

Full participation is a requirement for graduation.

I understand and agree:

Yes No

I understand and agree with the schedule and participation requirements.

Mandatory attendance at one Loomis Town Council Meeting and one commission meeting of your choice

Late arrival or partial attendance at any session in excess of three occurrences will result in being dropped from the program with no tuition refund.

Application Deadline (Applications must be received in the Chamber of Commerce office by August 16th, 2021. Applicants who qualify for the final selection process must be available for a mandatory interview.

Mail completed application to 6090 Horseshoe Bar Rd, Loomis, CA 95650 —Email: manager@loomischamber.com

99962

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