Thank you for your interest in the Leadership Dayton program. Before beginning the application process, click here to read the "Leadership Dayton Program Expectations" document. This document will help you decide if you can make the commitment to Leadership Dayton now or if you should apply for a future class.

Candidates for the next Leadership Dayton Class must complete and submit this application no later than April 6th, 2012.

Fees
Non-Refundable Application Fee:  $35 (due by April 6th)
Tuition for Chamber members:            $2,000 (due by August 1st)
Tuition for Future-members:                $3,750 (due by August 1st)

You cannot save this application so ensure you have an adequate amount of time to complete the information before you begin.  You may want to print a copy for your records.  The reliability of the "Print Application" button varies by browser version.  Google Chrome, Firefox, and Internet Explorer 8 or later are the most reliable.  You may want to change browsers before you start the application or you may be able to print via your browser's print option.

Participation in Leadership Dayton is a significant commitment of time and energy, including attendance at all retreats (mandatory) and programs. In addition, your class must complete a community project during which you will be required to participate on your own time. If you or your sponsoring business/organization are not willing to make the commitment for your participation in this year's class, please exit the application now.

The following are the dates of the 2013 mandatory retreats and program days:

   Opening Retreat: August 10/11, 2012 - Overnight Retreat

   Program 1:     September 12, 2012 - Dayton's Rich Heritage
   Program 2:    October 10, 2012 - Education
   Program 3:    November 14, 2012 - Cultural Arts
   Program 4:    December 12, 2012 - WPAFB
   Program 5:    January 9, 2013 - Healthcare
   Program 6:    February 13, 2013 - Diversity
   Program 7:    March 13, 2013 - Human Services
   Program 8:    April 10, 2013 - Justice
   Program 9:    May 15, 2013 - Dayton's Future (3rd Wednesday)

   Closing Retreat & Commencement:  June 12, 2013

*Indicates required field

*First Name:

*Last Name:

*Name Prefix :   (Mr., Mrs., Ms., Dr., Hon., Col., ...)

*Address:

*City:

*State:

*Zip:

*Phone:

*Email:

If you have previously applied to Leadership Dayton, please check here:

*How did you learn about Leadership Dayton?

*Please attach an updated copy of your resume. Limit your resume to 2 pages. MS Word or PDF Documents only.
Note: When editing in MS Word please accept all changes on your final copy so they are not viewable.

*Business/Org Name:

Job Title :

Address:

City:

State:

Zip:

Phone:

Fax:

*Email:

*1.  Please succinctly describe your three most recent community volunteer roles starting with the most recent.  (600 characters max)

Please include organization name, dates served and your roles/responsibilities

*2.  How much time per month do you currently commit to volunteer activities? hours

*3.  What one community service experience have you had, including but not limited to those listed above, that you consider your greatest accomplishment as a community servant leader?  (200 characters max)

Please include the organization name, dates served and your roles/responsibilities:

*4.  How did you demonstrate your leadership qualities as a community servant leader during this community service experience?  (1000 characters max)

*1.  Name one challenge or issue you will work to resolve after you complete the Leadership Dayton Program, should you be chosen for the Program (100 characters max)

*2.  Why is the resolution of this challenge important to you and the community? (500 characters max)

*3.  Name at least three things you will do to overcome this challenge to the greater Dayton community (1000 characters max)

Please provide the contact information for the individual responsible for your tuition payment:

*Contact Name:

Contact Title:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

If you are interested in applying for tuition assistance if accepted to the Leadership Dayton program, check here.

Note:  Tuition assistance for Leadership Dayton candidates may only be requested by applicants that meet the defined criteria.

Step 1. By submitting your application you agree to the terms of the "Leadership Dayton Program Expectations", thereby committing to participate in the opening/closing retreats as well as all of the scheduled programs.

Step 2. Review your information for accuracy.

Step 3. Print the application for your records.

             

Step 4. Submit your application by clicking here.

             

Important Note: Your application will not be submitted unless you click the submit application button.