Leadership Jefferson City

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2018 Leadership Jefferson City Sponsors: Bartlett & West, Inc. C & S Business Services, Inc. Candlewood Suites Hotel Capital Region Medical Center Central Bank Clear Vision Development Group GFI Digital, Inc. Hawthorn Bank Hollon Family Chiropractic Independent Living Resource Center, Inc. Jefferson Bank Jefferson City Medical Group Jefferson City Public Schools Learfield Communications, Inc. Lincoln University Missouri Hospital Association Scholastic Inc. State Technical College of MO SSM Health St. Mary s Hospital William Woods University Class of 2017 213 Adams Street, Jefferson City, MO 65101. t: 573.634-3616 f: 573.634.3805 Business Hours: Monday Friday 8:00 am to 4:30 pm. www.jeffersoncitychamber.org

What is LEADERSHIP JEFFERSON CITY? LEADERSHIP JEFFERSON CITY is an innovative leadership training and community awareness program developed by leaders of the Jefferson City Area Chamber of Commerce. The program has been in existence since 1988. The program is designed to identify and motivate emerging leaders, and to develop their potential for community leadership roles by exposing them to the opportunities, realities and challenges of our community. Sessions are strategically designed to provide participants with an increased knowledge and insight into the many functions and realities of life in our community. Session formats vary, but include such things as lively panel discussions, interesting field trips, knowledgeable speakers and group interaction. LEADERSHIP JEFFERSON CITY was developed to meet the following objectives: Expectations of Leadership Jefferson City Participants Graduates will be inspired to participate in leadership roles in the community. Class members will participate in a class project 1. Provide leadership development training and help participants develop an understanding of their leadership style. 2. Provide valuable and interesting information about Jefferson City and the surrounding area. 3. Create unique opportunities for dialogue and rapport between the participants and community leaders. 4. Stimulate and increase the level of commitment and participation in the community. 5. Build solid relationships among class members for working together on present and future community projects. Who Participates in LEADERSHIP JEFFERSON CITY? Individuals who have a genuine interest in community leadership and who desire to increase their own levels of involvement in community leadership roles are encouraged to apply. A Leadership Jefferson City participant must be a member of the Chamber. Applicants for LEADERSHIP JEFFERSON CITY are sought from all segments of the community. Applicants must have the support and commitment of his/her business or organization and should possess the personal commitment to 100% attendance of the 11 sessions. Failure to fulfill this obligation may result in the dismissal of the participant from the program. A maximum of 30 individuals will be provided the opportunity to participate in LEADERSHIP JEFFERSON CITY. In order to assure a diversify group, one Chambermember participant from a business or organization may participate during the same year.

Attendance Policy Applicants are expected to attend all eleven sessions. Excused absences may be allowed for business obligations and personal emergencies. Such absences must be reported to the Chamber's LJC Program staff prior to the session. Participants who fail to attend a minimum of 9 of the 11 sessions may be subject to removal from the program. If you cannot commit this year, please consider applying for a future session. I have reviewed the attendance policy: Class Project As a requirement for graduation, class members must develop and implement a class project that will be of benefit to some segment of the community. The project can be a donation of time, resources or monies for the betterment of an organization or project. The class will determine and develop a set of goads for achieving their project. Waiver of Liability, Disclaimer and Permission I hereby release, discharge, and hold harmless the Jefferson City Area Chamber of Commerce and its employees, volunteers and other representatives or affiliates from and against any and all claims arising out of or relating to illness, physical injury, death or damages that may result to said individual while participating in a Jefferson City Area Chamber of Commerce event. I give my permission for free use of name and picture in broadcasts, telecasts or written accounts of Jefferson City Area Chamber of Commerce sponsored events. Applicant s Agreement If selected as a participant, I understand the purpose of the Leadership Jefferson City program and its attendance requirement. I understand if I fail to meet any of the program obligations, I may be asked to withdraw or may not graduate with my class. I realize the completion of this form does not guarantee my acceptance as a participant. 2018 Schedule January Retreat 11 & 12 Volunteerism 18 February Local Government 1 Diversity 15 March Technology 1 Education 15 Health/Wellness 29 April State Government 12 Industry- 26 May Media 10 Arts & Recreation 24 APPLICANT S Signature Date Employer s Agreement As the employer/supervisor of the above applicant for Leadership Jefferson City, I hereby agree to arrange the time necessary for his/her to fully participate in all scheduled classes and activities. EMPLOYER 'S Signature Date How It Works LEADERSHIP JEFFERSON CITY Steering Committee is governed by the Jefferson City Area Chamber of Commerce. The Committee has the responsibility of establishing policy, empowering designated subcommittees, monitoring and reviewing the program curriculum and conducting all other functions pertaining to the operation of the program.

Instructions Complete the application /obtain signature from employer/sign the application Applicant s Information Last Name First Name Preferred First Name Employer Job Title Business Address Email: (Work) Phone Cell a. Years at Current Job b. Years in Jefferson City c. Are YOU a Chamber member? yes no If yes, approximately how long Have you applied for Leadership Jefferson City before yes no The following information is required for tours. Gender M F Social Security Number - - Date of Birth / / Please answer the following questions in the space provided. Why do you wish to participate in Leadership Jefferson City? What personal and professional qualities would you bring to the class? (150 word min.) Please identify and discuss a particular issue, opportunity, or problem you feel is crucial to the Jefferson City area. Include recommendations you may have for approaching and resolving these problems. (150 word min.) Application Information Deadline for applications is November 27, 2017. Send completed applications to: Attn: Dana Struemph Jefferson City Area Chamber of Commerce P.O. Box 776 Jefferson City, MO 65102 Questions? Contact: Dana Struemph, Education & Administration Assistant, danastruemph@jcchamber.org, (573) 638-3589. Applicants will be notified of the status of their application by December 7, 2017.

Organizations/Activities/Community Involvement/Awards please state personal and professional Present: Past: 3. Optional Information Highest Level of Education: Advanced Training / Certification: Interests / Hobbies: Skills: 4. References: List two persons who have knowledge of your qualifications and background, who may be contacted by the Leadership Jefferson City Steering Committee. Full Name Business or home address Email 1. 2. Tuition Tuition is $800; this covers expenses such as materials, transportation needs and training. Scholarship funds may be available at the discretion of the Steering Committee. No one applicant will receive a full tuition. Scholarships will be awarded based on the financial need of the individual or organization. Special attention will be given to applicants from non-profit organizations and those who will be paying the tuition themselves. To request a scholarship, please send a cover letter of explanation. Payment is due prior to the start of class. Submit Your Application Your completed application must be received to the Jefferson City Area Chamber of Commerce no later than 4:30pm., on Monday, November 27, 2017 to: Jefferson City Area Chamber of Commerce, 213 Adams, P. O. Box 776, Jefferson City, MO 65101.

How It Works LEADERSHIP JEFFERSON CITY a Steering Committee governed by the Jefferson City Area Chamber of Commerce. The Committee has the responsibility of establishing policy, empowering designated sub-committees, monitoring and reviewing the program curriculum and conducting all other functions pertaining to the operation of the program. Leadership Jefferson City 2018 Steering Committee 2018 Session Schedule Amy Ames State Technical College of MO Amy Berendzen Jefferson City Public Schools Michael Cady Learfield Communications, Inc. Melinda Cardone Independent Living Resource Center, Inc. Becki Collier American Heart Association Georgeta Dacila State of Missouri Tina Davis Designs by Tina Jayne Dunkmann Jefferson Bank Carol Griffin Special Olympics Missouri Jill Hansen Central Technology Jane Haslag News Tribune Company Lt. Deric Heislen City of Jefferson Lindsay Huhman Capital Region Medical Center Renee Jurgensmeyer Scholastic Inc. Stephanie Lehmen C & S Business Services, Inc. Lori Massman Scholastic Inc. Mallory McGowin Jefferson City Public Schools Judy Naught Naught-Naught Insurance Agency Mary Rackers Cornerstone Appraisal Group, LLC Chad Stieferman City of Jefferson Angie Toebben City of Jefferson Hank Vogt Re/Max of Jefferson City Janet Wear-Enloe SSM Health St. Mary s Hospital January Retreat 11 & 12 Volunteerism 18 February Local Government 1 Diversity 15 March Technology 1 Education 15 Health/Wellness 29 April State Government 12 Industry 26 May Media 10 Arts & Recreation 24 June Graduation 7