2027 CLASS LEADERSHIP DAYTON APPLICATION

First Name *

Last Name *

Name Prefix

Pronouns

Gender *

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Race *

Enter required value American Indian or Alaska Native Asian Black or African American Hispanic or Latinx Native Hawaiian or Other Pacific Islander White Other Prefer not to answer

Home Address *

City *

State *

Postal Code *

Phone *

(Please include area code)

Email *

Please insert email address you wish to receive all Leadership Dayton notifications.

Have you previously applied to Leadership Dayton? *

Enter required value Yes No

How did you learn about Leadership Dayton? *

Personal Leadership Style *

Servant Leadership *

Leadership Qualities *

Community Volunteerism

Volunteer Activities

Current Resume *

Please attach an updated copy of your resume. Limit your resume to 2 pages. MS Word or PDF Documents only. Note: When editing in MS Word please accept all changes on your final copy so they are not viewable.

20MB max

Organization *

Please enter the name of the sponsoring business/organization. If you are self-sponsored, please enter N/A.

Job Title *

Business Address

Business City

Business State

Business Postal Code

Business Phone

Business Email

Please enter your business email address.

Business/Organization Support

Is your application to participate in the Leadership Dayton program supported by your business/organization and their administrative office?

Yes No

Leveraging Leadership Dayton *

What do you hope to gain from participating in Leadership Dayton that will help you better serve the community?   (800 character limit)

Community Issues & Challenges *

Name one challenge, issue, or social problem you recognize as a threat to the greater Dayton Community, and share why working toward a solution on this issue is important to you?   (800 character limit)

Tangible Steps *

What are three tangible steps you can take now, or leveraging your experience in Leadership Dayton, to address this challenge?   (1000 character limit)

Billing Contact *

Billing Contact Title

Billing Address

Billing City

Billing State

Billing Postal Code

Billing Phone

Tuition Assistance *

The goal of the tuition assistance is to remove financial barriers so that Leadership Dayton is able to welcome a diverse class of leaders with a wide range of background experiences to foster connections and strengthen the social fabric of our region.

Candidates who meet the following criteria will be considered for scholarships:

• Endorsed by their leadership as the sole candidate from their organization for participation,
• Self-pay or financially supported by an organization with revenues under $1 million annually, and
• Complete the personal statement on the application.

Please note: All scholarship recipients will be encouraged to update membership in the Dayton Area Chamber of Commerce. Recipients must have an active membership with the Dayton Area Chamber of Commerce in order to receive tuition assistance.

Limited scholarship funds are available on a competitive basis for applicants with demonstrated need to help remove financial barriers. The average assistance amount is likely to range from $1,000-$2,000, however funds are not guaranteed each year. The Dayton Area Chamber of Commerce reserves the right to approve or reject scholarship applications aligned with the priorities to recruit a strong and diverse class. We believe this is one way to create an inclusive and vibrant leadership landscape for the region.

Information disclosed on the tuition assistance portion of the application is for internal selection matters only and will not be divulged to the public.

Would like to apply for tuition assistance?

Enter required value Yes No

Written Application for Tuition Assistance Request

Only answer if you selected "yes" on the last question; otherwise, skip ahead to the next question. If you answered "yes," this response is required for consideration.

The purpose of the scholarship is to help remove a financial barrier for a local leader who may not otherwise be able to participate. Please provide information to highlight that you meet the criteria for consideration, and share your request for financial support including:

1. Details of your financial need (e.g.: entrepreneur self-pay, small business or nonprofit with revenues of  $X, etc.),
2. If your participation in the program is dependent on your scholarship approval.

(800 character limit)

Billing Contact Email

Key Program Enrichments *

A key benefit of the Leadership Dayton program is the opportunity for special engagements that fall outside of class time. These include a ride-along with a first responder, a class-led project in service to the community, participation in a nonprofit expo (mid-March), and an invitation for placement on a non-profit board for one year following graduation.  

Are you prepared to participate in these experiences although they may fall outside the timeline/parameters of the coursework?

Yes

No