Oakland Metropolitan Chamber of Commerce



Leadership Oakland 2017-2018 ApplicationPROGRAM OVERVIEW Founded to offer Oakland’s current and future leadership the opportunity to gain an in-depth understanding of the role leadership plays in our city, the purpose of Leadership Oakland is three-fold: LO provides participants with a working knowledge of the City of Oakland. Participants receive a first-hand view of the range of private businesses, public agencies, nonprofit organizations, and elected offices that make up the economic and political engine that drives Oakland. LO builds a network of colleagues with similar interests from diverse business and personal backgrounds. This network often serves participants in both professional and personal opportunities well after graduation. LO gives participants the know-how to serve on City Boards and Commissions as well as the boards of nonprofit organizations active in Oakland. With the knowledge, network, and know-how acquired through Leadership Oakland, graduates gain the skills and contacts to move forward to help lead our city into the future.Leadership Oakland combines leadership skill training with an educational opportunity for participants to share perspectives and broaden their understanding of community dynamics and public issues.COST**Early bird/Non-profit: June 1 - July 31, 2017 = $50 application fee + $1,100 registration = $1,150.00August 1 – September 12, 2017 = $50 application fee + $1300 registration = $1,350.00September 13 – September 29, 2017 = $50 application fee + $1500 registration = $1,550.00(a $25 credit card processing fee applies)All breakfasts and lunches provided as well as costs associated with Chamber mixers, Annual Awards Luncheon and graduation ceremony.Application Instructions The final deadline for applying to Leadership Oakland 2017 - 2018 is Friday, September 29, plete each section in full in the space provided and attach any additional information. Email the application to abonde@ or mail to address below. Half the tuition + $50 application fee must accompany this form or mailed to the Chamber of CommerceThe applicant and the applicant’s employer must sign application.You will receive notification of your acceptance into the program via email once your application has been reviewed. Please allow us time for review. The balance of the tuition is due upon acceptance into the program, or must be paid in full by the orientation on Friday, October 13, 2017. If tuition is not received by the day of orientation, applicant will not be able to participate in orientation. Please mail your check payable to the Oakland Metropolitan Chamber of Commerce and submit to the below address. If paying by credit card, a $25 processing fee applies. If you are not selected, your check will be returned (likewise, your card refunded). Oakland Metropolitan Chamber of CommerceAttn: Leadership Oakland/A. Bonde475 14th Street, Suite 100Oakland, CA 94612SELECTION CRITERIA Selection will be based on the information provided in your application and possible personal interview.Leadership Oakland seeks representation from a cross section of the community including business, government and nonprofit organizations. A criterion for selection includes the following:Individuals with a sincere commitment, motivation and interest in serving the community.Individuals who demonstrate commitment through past or present involvement in the community.Individuals with an awareness and understanding of community and business issues.Individuals who demonstrate a commitment to the Oakland community and its future.Individuals who have demonstrated or show potential leadership skills.Confidential applicationPERSONAL ____________________________________________________________________________________________Name (Last, First, Middle)(Preferred Name)___________________ ________________________________________________________________Cell/Home Telephone Home FaxPersonal E-Mail Address_______________________________________________________________________________________________Home Address (Include City & Zip Code)How long have you lived and/or worked in the Oakland area? _______________________________________Do you expect to be in Oakland in the next five years? _______________________________________________________________________________________________________________________________*Nominated By/Company (Chamber Member)TelephoneEmploymentIn the space provided please, list your current employer, including employer’s address and telephone number if different than sponsor. Include the job title and a brief description. In addition, briefly list past employers, length of employment and areas of responsibility (past 5 years only)._______________________________________________________________________________________________Present Employer Your position/Title __________________________________________ Date Hired ________________________________________________________________________________________________________Business TelephoneYour Business E-Mail Address_______________________________________________________________________________________________Employer Address (Include City & Zip Code)Is your company a member of the Oakland Metropolitan Chamber of Commerce? _________If not, would you like membership information about this organization? __________________*The program accepts nominations by businesses or community organizations in which the applicant holds a leadership role, or if not employed, by self-sponsorship. Sponsorship does not necessarily imply financial responsibility by the organization on behalf of the participant, but does influence selection by the category in which the applicant is placed. The nominating organization must be a member of the Oakland Metropolitan Chamber of Commerce who is in good standing.Description of Business: Summarize responsibilities:Past Employment_______________________________________________________________________________________________ Employer Title or Responsibilities Dates________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________EducationList college(s), business or trade schools and/or other specialized training, with most recent first: School DegreeMajor_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________List any awards, honors or accomplishments you received during your educational or professional munity involvementOrganization/Business and professional activitiesList the major civic, business, and professional activities in which you have participated during the past five years. For each activity indicate the nature of your participation, including any offices you have held. Community and or business involvement are key selection considerations. If you have not been involved in any civic, business or professional activities, please explain why. referencesList at least three professional references and two personal references of people who have knowledge of your qualifications as a Leadership Oakland participant. (Note: The selection committee may contact all individuals.) Full name and title Present business or home addressTelephone (Include city & zip code)session SponsorshipWould you or your employer be interested in sponsoring a session for $750? ______Yes _____NoBenefits of sponsorship: Your name and logo listed on the Chamber’s websiteAn ad in the Oakland Business ReviewName recognition in the Leadership Oakland directoryName recognition on all printed materials for the sponsored sessionA five-minute presentation by a representative of your business to the group during the lunch hourTuition & Refund PolicyThe tuition for Leadership Oakland is payable by the participant or employer. Half the tuition must accompany the application either by check or credit card. The balance of the tuition is due upon acceptance into the program; or must be paid in full by orientation on Friday, October 13, 2017 BEFORE the Orientation begins. Acceptable forms of payment: cash, check or credit card (Please note: if paying by credit card a $25 processing fee applies).If you are not selected, your check will be returned (likewise, your card refunded).Mail or deliver checks to:Oakland Metropolitan Chamber of CommerceAttn: Leadership Oakland/A. Bonde475 14th Street, Suite 100Oakland, CA 94612-1903 VISA MasterCard AMEX DiscoverCard #_______________________________________ Exp. ________Name ______________________________________________________(As it appears on the card)Signature __________________________________________________________Refund PolicyWithdrawal from the program following confirmation of acceptance will result in forfeiture of half the tuition unless an alternate is confirmed before the opening retreat. Once a participant has attended two sessions, the tuition is non-transferable and non-refundable. If you are not selected, your check will be returned (likewise, your card refunded). AttendanceIn order for Leadership Oakland to accomplish its stated goals, the full participation of each individual is mandatory. The orientation for Leadership Oakland will take place on Friday, October 13, 2017. The regular program sessions meet all day on the second Friday of each month unless otherwise notified. Graduation will take place upon completion of the program. In addition, you will be required to attend the Chamber’s Annual Luncheon (cost for this event is included in your tuition). If you are unable to make the time commitment, it is not in your best interest to apply at this time. The following will result in termination from the program with no tuition refund - no exceptions Failure to attend the leadership training/retreat.More than one (1) absence during the program.Partial attendance (late arrival/early departure) at any session in excess of two (2) occurrences.DeclarationApplicants for the Leadership Oakland program must have the support and commitment of their sponsoring business organization. The signature of the applicant’s employer is necessary as an indication of support for participation in the program. (signature from an employer implies permission to participate in all program activities)____________________________________________________________________________________Signature of Applicant’s employer Title In submitting this application, I hereby declare:That I have read and understand the above statements.That to the best of my knowledge and belief, the information I have given is true and accurate.That I will undertake to complete the program in its entirety._____________________________________________________________________________________Signature of the ApplicantDate ................
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