Leadership Bartow Application

Leadership Bartow Class XIX Application

Taking Care of Business

Date: September 2021 – May 2023
Cost: $1,050.00 per year (scholarship applications will be available)
Class Registration By: July 23, 2021

The Leadership Bartow program was established in 1984 to enhance the civic participation of emerging leaders within the greater Bartow area. Every two years, Leadership Bartow selects the best and brightest individuals in the Bartow area to participate in the two-year program oriented to developing leadership skills, fostering understanding of the major issues facing the Bartow area, improving the communications network among leaders of disparate backgrounds and interests and, most importantly, motivating them to contribute through voluntary participation in civic activities.

Since its inception, more than 500 individuals have completed the Leadership Bartow program, acquiring the skills, knowledge and passion necessary to participate fully in the life of our community. Moreover, the program has brought together individuals ranging from corporate executives and entrepreneurs, to educators, non-profit managers and public servants.

These individuals have forged lasting networks that have proved essential to creating a vital, positive community for current and future generations.

Leadership Bartow continues to be a vital part of the overall effort to ensure that the pool of talent from which the community can draw its future leaders continues to be renewed.

Tentative Program Schedule

The program will begin in September 2021 and end in May 2023.
Dates may change.

Year One – Schedule not yet available

October, 2021 – Opening Retreat – MANDATORY
November – Education Day – 1 credit
January, 2022 – Economic Development Day – 1 credit
February – Agri-Business Day – 1 credit
March – State Government, Overnight Tallahassee Trip (exact dates depend on legislative calendar released later in 2020) – 1 credit
April – Sheriff’s Day – 1 credit
May – City Day I – 1 credit

Year Two – Schedule not yet available

September, 2022 – Second Year Retreat – MANDATORY
October – County Government Day – 1 credit
November – Health & Human Services Day – 1 credit
January, 2023 – City Government Day II – 1 credit
February – Cultural Arts Day – 1 credit
March– Phosphate Day – 1 credit
April – Washington D.C., three days/two nights – 2 credits (tentative)
May – Graduation – MANDATORY

Leadership Bartow Application

Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
City / State of Birth*
Work Address*
Street Address Address Line 2 City State ZIP Code
Home Address*
Street Address Address Line 2 City State ZIP Code
Work Phone*
Cell Phone*
Email*
Current Employer*
Job Title*
Start Date*
Job Description*
Most Recent Past Employer*
Education*
Awards / Honors*
List any awards or honors you have received
Special Interests / Hobbies*
List your business/professional affiliations, as well as involvement in civic organizations, business & community board service, and volunteerism*
Describe what Leadership means to you, and why you want to be considered for Leadership Bartow Class XIX*
What do you hope to gain through participation in the Leadership Bartow program?*
How will you utilize and apply what you learn and experience through the Leadership Bartow program?*
This Application MUST be filled out in its entirety. Tuition for the Leadership Bartow program is $1,050.00 per year for two years. Upon acceptance, you or your employer will be billed $1,050.00 per year due by August 15 of each of the two years. If you are unable to complete either the first or second year of the program, and payment for the year has been received by the Chamber, NO TUITION REFUND WILL BE ISSUED.*
- I have reviewed the guidelines for the Leadership Bartow program and if accepted, I am willing to commit the required time to participate. I understand that I must complete eleven (11) credits in order to graduate with my class - with at least six (6) credits earned in year one, and five (5) credits earned in year two. Applications must be received by July 23, 2021. Completion of this application does not guarantee placement. I understand that information provided by me in this application, as well as the number of applicants, can determine whether I may be accepted.
I have cleared my calendar on the appropriate dates*
- Agree
I will attend the mandatory opening retreat, second year retreat and graduation*
- Agree
I understand that if I miss any mandatory events, I will no longer be a participant in Leadership Bartow Class XIX and my tuition will not be refunded*
- Agree
Signature*
I agree with the above statement.

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Greater Bartow Chamber of Commerce
+1 (863) 533-7125

Email Jeff Clark

Email Virginia Condello

510 N. Broadway Avenue
Bartow, FL 33830, USA

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