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Seeking to build a network of committed, informed and progressive in the Frankfort/Franklin
County Community

Learn... what’s happening in our town

Learn... what challenges face our community and how you can make a difference

Learn... the economic barometer of the area and how it may affect our community and business.

Instructions
* Please type or print answers clearly
* Complete each section in full
* Include with application a photo (head shot) can be sent digitally to chamber@frankfortky.info
* Applications must be signed by applicant and employer (if applicable)
* Original application must be returned on/before September 4, 2009.

Selection Criteria
The Leadership Frankfort Advisory Board seeks to identify those individuals most likely to utilize their
leadership abilities for a long-term benefit. Approximately twenty-four individuals will be selected to
participate in the program.

Participants will be chosen by the Advisory Board based upon the information completed on this
application. The Committee will be seeking a diverse class, professionally, geographically, ethnically
and gender-wise.

Requirements
Attendance at the Opening Orientation Retreat is mandatory. Any participant missing more than one
regular full day sessions, in half-day increments, will not graduate from the program.


Leadership
Frankfort


A community development program of the Frankfort Area Chamber of Commerce

2009-2010 Tentative Program Schedule

  

Date/Time

September 22, 4:30 p.m.

October 11 & 12 or October 18 & 19
2:00 Sunday until 4:30 Monday

November 19

December 17

January 14

February 11

March 11

April 8

May 13

June 10

  

Function

Class Orientation Meeting

Opening Retreat
Asbury College in Wilmore, KY

Culture & History Challenge Day

Commerce & Industry Challenge Day

Law & Justice Challenge Day

Education & Media Challenge Day

Health & Human Services Challenge Day

Economic Development Simulation Exercise

Government & Politics Challenge Day

Environmental Challenge Day

NOTES:

This is a tentative calendar of challenge days, due to scheduling some dates may change. Notification
will be sent prior to date change.

Challenge Days generally begin at 8:00 a.m. and end at 4:30 p.m., and are subject to change due to
scheduling and weather conditions.

Leadership Frankfort follows Franklin County Schools lead for inclement weather. If Franklin County
Schools are closed, the Challenge Day will be re-scheduled.

While the Leadership Advisory Board will excuse a single absence from a Challenge Day with a “make
up” assignment proposal, absence from any portion of the remaining Challenge Days will result noncompletion
of the course for this program year. No portion of the opening retreat may be missed.

Personal Data
 Name  
  
Last
First
 
   
 
Middle
Name Called
 
   
 
Indicate gender Date of Birth
 
   
 
Home Address
   
  
Years in Frankfort Spouse's Name
  
   
  
Business or Employer & Address    
 
        
Contacts
 
Daytime Phone#
Home Phone#
CELL Phone#
  
 
Email Address

Education

Begin with most recent post-secondary, then high school or trade school.
Name & location of school Dates Attended Degree Major
   
 
Career
Present Employer Start Date
   
Present Position
 
   
Responsibilities
 
   
To meet graduation requirements, it is necessary for you to attend all scheduled functions.
Are you and your employer willing to make this commitment?
   
Do you expect to be transferred out of the Frankfort area within the next 3 years?
   
Tell us one unique thing about yourself
 
   

Previous Employment
   
Employer Title/Responsibility From-To
 
       

What do you consider your highest responsibility, skill or career achievement so far?

Involvement
Please list, in order of importance to you, up to three community, civic, professional, business, religious,
social, athletic, or other organizations of which you are or have been a member.
Organization From-To Position Held
 
       
What has been your impact on, or contribution to these organizations?
       
What kinds of community organizations would you like to become involved with in the future?
       
What specific skills or knowledge do you hope to gain from the Leadership Frankfort experience?
       
Do you have any known food allergies or special diet?  
       
If so, please explain
 

Participation
Completion of Leadership Frankfort requires class members to attend all scheduled functions and full
Challenge Days. This policy is nearly universal in community, regional, and state leadership course
programs. While the Leadership Advisory Board will excuse a single absence from a Challenge Day
with a “make up” assignment proposal, absence from any portion of the remaining Challenge Days will
result non-completion of the course for this program year. No portion of the opening retreat may be
missed. A course schedule is attached to this application. If you and/or your employer are unable to
commit to the attendance policy, it is not in your best interest to apply at this time.

Application Fee
A $25.00 non-refundable application fee must be received with your completed application in order for
it to be considered. Please attach a check payable to Frankfort Area Chamber of Commerce Leadership
Frankfort class.

Tuition
If accepted into Leadership Frankfort, you and/or your employer will be obligated for the tuition fee of
$675.00, however if you apply before August 15, 2009 you will receive a $50 early bird discount – taking
tuition to $625.00. Tuition covers all required program costs, including room and board at the opening
overnight retreat, educational materials and all Challenge Day lunches. Tuition fee must be paid by
August 15, to receive the early bird application discount, unless other arrangements have been made.

Scholarships
A limited number of partial scholarships are available. Because this fund is limited, the Leadership
Advisory Board recommends that you discuss tuition reimbursement possibilities with your employer
and community organizations with which you are involved before applying for scholarship. To apply
for a scholarship, please include a letter of request with this application.

Your signature affirms that all information included in this application is accurate and may be
submitted for confidential evaluation. Your signature and that of your employer (if applicable) also
affirms your agreement to course attendance requirements and tuition obligation.

.....................................................................
Applicant’s Signature

.....................................................................
Employer’s Signature
To verify the employer’s understanding of
attendance requirements.

.....................................................................
Date
 

Application Submittal
Please send or deliver completed application and check for application fee to the Frankfort Area
Chamber of Commerce at 100 Capital Avenue, Frankfort, KY 40601. The deadline for return of
applications for the 2009-2010 class of Leadership Frankfort is September 4, 2009.




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Frankfort Area
Chamber of Commerce


100 Capital Ave.
Frankfort, KY 40601

Phone: (502) 223-8261
Fax: (502) 223-5942

chamber@frankfortky.info