Apply – Leadership Pinellas

What are your responsibilities with your present employment?*
What makes you unique?*
List up to five of the most significant community, civic, business or other organizations in which you have been active in the past five years. Please include positions held and time frames.*
What is your greatest responsibility, skill or career achievement to date?*
Describe your top leadership strengths.*
How did you hear about Leadership Pinellas? If an alumni referred you, please list their name.*

Applicant Personal Commitment
I understand the purpose of Leadership Pinellas and, if I am selected, I will devote the time and resources necessary to complete the program and I will abide by the Attendance and Participant Commitment Policy. I also consent to a criminal background check prior to my commencement in the program if I am selected.
Signature*
Please type your full name.
Date*
Date Format: 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.

Leadership Pinellas tuition is due in full by July 13, 2020