2025-2026 Marinette Menominee Area Chamber of Commerce Community Leadership Academy

First Name *

Last Name *

Title/Position *

Name of Business *

Business Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Business Phone Number *

Email Address *

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Home Phone/Cell Number *

Do you have full support of your employer for the time required to participate in the Community Leadership Academy? *

Yes No

Employer/Sponsor Contact Information: Please provide the name and contact information for an individual at your workplace with whom we can share information/updates on this year's Community Leadership Academy class.

Title

First Name *

Last Name *

Suffix

Email address *

Phone number *

How many years have you lived/worked in the Marinette, Menominee, and/or Peshtigo area? *

How much time each month do you commit to community, civic, professional and other organizations and activities? *

	1-5 hours	5-10 hours	10+ hours
Hours on your own time	1-5 hours	5-10 hours	10+ hours

Hours on employers time	1-5 hours	5-10 hours	10+ hours

Please note : the program usually requires 10-20 hours of participation outside of normal class time.

What are the reasons you think you would be a good candidate for the Community Leadership Academy? *

How do you think your expertise & experiences would contribute to the program? *

In your opinion, what is the most significant problem facing our region today, and what are you willing to personally contribute to help work toward solutions? *

What would you hope to gain by participating in the Community Leadership Academy? *

Do you understand that attendance at ALL class sessions is required and necessary to graduate? *

Yes No

Tuition and Funding: Tuition for the Academy is $700 for Marinette Menominee Area Chamber of Commerce members and $850 for non-members. It is payable at the time of acceptance into the program. Tuition payment should be made payable to Marinette Menominee Area Chamber of Commerce and mailed to : 601 Marinette Ave., Marinette, WI 54143.

Partial tuition scholarships will be available to a limited number of non-profit and small business applicants (1-5 employees). If you wish to apply for assistance, please request an amount and your reasons for the request.

Please attach a current resume that highlights the following qualifying categories and personal information: Employment History, Education, Special Recognitions, Leadership Achievements, Organizations & Activities you are involved in (past & present) and professional/personal references.

Resume Upload *

All Applications are subject to confidential evaluation, however, if you are chosen as a candidate for the program, your application will be shared with the Employer/Sponsor listed above. Since the program has limited number of participants, if you are not selected for the current program, you are encouraged to apply again next year.

2025-2026 Marinette Menominee Area Chamber of Commerce Community Leadership Academy

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