LSF Class of 2024/2025 Application

LEADERSHIP SF HOME PAGE

To successfully complete the Leadership Program, attendance is required at the Retreat and at a minimum of eight of the ten monthly Sessions. If an applicant withdraws from the program, no portion of the tuition shall be refunded. I understand the commitment this program requires and am able to fulfill the requirements: *

Yes, I agree.

First Name *

Last Name *

Company Name

Gender

Male

Female

Birthday

Place of Birth

Preferred Email

Cell Phone Number

Home Address Line 1

Home Address Line 2

City

State/Province

Zip/Postal Code

Country

Secure Payment

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Education

Please list your School, Year, and Degree, starting with most recent (2 schools max)

Institution #1

Degree #1

Graduation Year #1

Institution #2

Degree #2

Graduation Year #2

Achievements

Please list your highest achievements

What do you consider to be your highest achievement to date in your Education?

What do you consider to be your highest achievement to date in your professional career?

What do you consider to be your highest achievement to date in your Community?

Employment

Current Employer

Job Title

Hire Date at Current Employer

Is Your Company a Current Member of the San Francisco Chamber of Commerce?

Yes

Type of Business

Non Profit - Large (250+ employees)

Non Profit - Medium (25 - 250 employees)

Non Profit - Small (1-24 employees)

For Profit - Large (250+ employees)

For Profit - Medium (25 - 250 employees)

For Profit - Small (1-24 employees)

Government - City

Government - County

Government - State

Government - Federal

Responsibilities

Previous Employer

Hire Date (Previous Employer)

Responsibilities (Previous Employer)

Have you participated in a similar Leadership Program before? If yes, which one?

Yes

Have you ever applied to Leadership San Francisco? If so, when?

Volunteer / Activities / Community Involvement.

Please list which organizations you have been an active member. (e.g. community, civic, religious, social, athletic, employement related) Include your top 3

Community Involvement #1 - Organization Name

Community Involvement #1 - Time Line

Community Involvement #1 - Responsibilites

Community Involvement #2 - Organization Name

Community Involvement #2 - Time Line

Community Involvement #2 - Responsibilities

Community Involvement #3 - Organization Name

Community Involvement #3 - Responsibilities

Community Involvement #3 - Time Line

General Questions

What do you hope to gain from and how do you expect to use your Leadership San Francisco Experience?

In your judgement, what is one of the most pressing problems now facing the City and County of San Francisco? Explain why and give any recommendations you may have for approaching and resolving these problems.

Define community involvement and explain how you developed and demonstarated your leadership abilities within the community.

What additional information would you like us to know; e.g. family hobbies, recreation, etc.

References

List the names of three references who can be contacted by the selection committee, if needed:

Reference # 1 - Name

Reference # 1 - Title

Reference # 1 - Phone #

Reference # 2 - Name

Reference # 2 - Title

Reference # 2 - Phone #

Reference # 3 - Name

Reference # 3 - Title

Reference # 3 - Phone #

Commitment

To successfully complete the LSF program, a participant is expected to attend all Sessions (2 absences may be allowed). The two-day, overnight orientation Retreat is mandatory and is scheduled for Friday, September 6th and Saturday, September 7th, 2024.

Tuition for each participant is $6,000, due upon acceptance, non-refundable and non-transferable. Tuition will be paid by:

Employer

Applicant

Employer & Applicant

Do you have the full support of your employeer to meet the participation requirements of LSF?

Yes

Direct Supervisor Name

Direct Supervisor E-Mail

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