Contact Information Name *
Affiliation / Employer * Title * Business Address • Physical
* Mailing Address
* Business Phone * Cell or Alternate Phone * Email *
Background Information Why do you want to take part in this program? * Briefly tell us about your present responsibilities at work. * What do you consider your highest responsibility or career achievement so far? * Please list up to three organizations which you are or have been a member. They can be any of the following categories: community, civic, professional, religious, military, veteran, social, athletic, other. Please list any Board positions, committee chairs or other appointments you held while in the organization. * What have you accomplished in these activities that you believe is important? * How much time each week do you commit to community, civic, professional and other organizations? * Please tell us about your education or life experience: colleges, business/trade schools, military service, other specialized training, and/or life experience. * Please tell us about any awards, honors, prizes and recognition in professional, academic, military and extracurricular categories. * In your opinion, what are the most pressing challenges and/or opportunities facing our community? * What do you hope to gain from your McCall Area Leadership Academy experience? * Tuition Tuition will be paid by: *
The tuition is $500 for the two-year program and includes meals, transportation, workbook and administrative costs. Tuition balance is due prior to the start of the program. For businesses or individuals NOT associated with an area Chamber (McCall, Donnelly or Cascade) there will be an additional $100 fee to be part of the program. The total cost for non-affiliated applicants will be $600. A complimentary Supporter Level Membership with the MACCVB will be included for the duration of the two year program.
Time Investment Statement Acknowledgement of Time Required *
If accepted into the program you will be required to sign an acknowledgement of the time required to participate in the program. If you are being sponsored by an employer, their signature will be required as well. Please respond with yes or no that you agree to these terms.
Do you have any special needs that may need accommodation? *
If you answered Yes, we will contact you to make arrangements. We will do our best to accommodate you.