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Leadership Manhattan Application

  1. Personal Data
  2. College/Technical School/Other - List name and city as well as degree/professional training/certificates
  3. List employment in reverse chronological order beginning with your current position. Employer/Location/Title or Responsibility/Dates (From/To)
  4. Please list the community, civic, political, athletic, cultural and/or other organizations of which you have been a member and that have been of significance to you. List Organization, From/To, Role/Involvement
  5. Scholarship
    A Leadership Manhattan Scholarship may be available to help cover the cost of tuition for qualifying participants whose tuition is NOT paid for by their employer.
  6. Employer Commitment

    As the applicant's employer, I consent to his/her participation in the 2022 Leadership Manhattan Program and agree to the attendance requirements set forth on the program schedule. *Once your application has been submitted, instructions for signatures will be sent.

  7. Participant Commitment

    In order to graduate from the 2022 Leadership Manhattan Program, participants must attend all sessions including an overnight trip to Topeka (see dates on page 1). I understand the goals of the program and the commitment required of class participants (including the $950.00 non-refundable tuition for Chamber members or $1,100 non-member). If selected, I will attend all sessions and I give permission for my name and/or picture to be used in future Leadership Manhattan publications. I certify that the information provided in this application is true and accurate.

  8. Application Deadline
    APPLICATION DEADLINE Your completed application must be received on Monday, October 26, 2020 by 5 p.m. Please send/email applications to: Leadership Manhattan Manhattan Area Chamber of Commerce 501 Poyntz Avenue Manhattan, KS 66502-6005 For questions, please call: 785-776-8829 *Please note, you will receive an email response indicating your application has been received. If you do not receive a response within 24 hours after submission, please contact Sharla Meisenheimer at 785.776.8829.
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  10. This field is not part of the form submission.