Leadership Northfield Application 2024-25

The selection committee will choose participants based on their responses to the following questions. Please answer as completely as possible.

Name

First Name *

Last Name *

Company *

Company Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Work Phone Number *

Email Address *

Cell Phone Number *

References: List your immediate supervisor and at least one other person who may be contacted by the selection committee.

Supervisor Name

First Name *

Last Name *

Title & Company *

Phone Number *

GENERAL INFORMATION:

Please answer the following questions.

Describe a professional or community leadership challenge you have undertaken. *

What do you think is a significant challenge facing the Northfield area today? *

What strengths would you bring to Leadership Northfield? *

In what ways do you think Leadership Northfield can help you develop your leadership potential? What do you expect of the program? *

Are you willing to commity to nine sessions to attend Leadership Northfield? *

Yes, I can commit to all nine sessions No, I can't commit to all nine sessions

How did you hear about Leadership Northfield? *

Chamber E-Blast/Newsletter Supervisor Chamber Board Member Professional colleague/associate Directory Mailing Other