Leadership Pinellas Application

In which sector/industry do you work?
Where do you work?
What is your role/position in the organization?
Please answer the following questions for each category.
Knowledgeable/Transferrable Base*
Give an example of someone that you coached, developed and went on to be successful. What did you work on with them to make it happen? [Considerations: relevance of field, training, and community, and ability and willingness to learn]
Value/Cultural Fit*
It is one year from now, what will you have accomplished? [Considerations: adaptability, initiative, leadership, reliability/work ethic, and commitment]
General Impression*
Describe a time when you didn’t agree with something but had to do it anyway. [Considerations: demeanor, responsiveness, maturity, judgement, and goals]
Assessment of Strengths*
Have you ever dealt with failure in the past? [Considerations: versatility, creativity, focus, and confidence]
Assessment of Weakness*
Give an example of a time that you lost your temper. Tell me what happened. What was the outcome? [Considerations: self-criticism, insecurity, too detail-oriented, and public speaking]
Upload a 20-30 second video telling us about your leadership through service to the community; something unique or funny about yourself or what would you like to be remembered for*
Max. file size: 10 MB.
Leadership Pinellas tuition is due in full by August 6, 2021.
Tuition Selection*
- Single Occupancy Tuition $3,250
- Double Occupancy Tuition $2,750
Who will pay your tuition?*
Will you be requesting tuition assistance?*
- Yes
- No
Have you ever plead guilty, no contest or been convicted of a Felony?*
- No
- Yes
Employer Commitment*
Please upload a letter or email from your direct supervisor/employer stating their awareness and acceptance of the dates, time and financial obligation (if business is paying) of Leadership Pinellas. The letter should state something similar to: “This candidate has my full support to participate in Leadership Tampa Bay. I am aware of the date and time commitment involved in his/her effective participation as well as the financial obligation.”
Max. file size: 10 MB.
Applicant Personal Commitment
Signature*
Please type your full name.
Date*
MM slash DD slash YYYY
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Your application process is not complete until you've submitted your application fee on the next screen.

Please answer the following questions for each category.

Leadership Pinellas tuition is due in full by August 6, 2021.

Applicant Personal Commitment