Leadership Program Application

Your Information

Employment

Current Employer

Previous Employer

Educational Background

Civic/Community Involvement

Please list, in order of importance to you, three community, civic, professional, business, social, athletic or other organizations of which you have been a member. Please briefly describe the nature of your participation, responsibilities, and accomplishments.

Interests

What are your areas of particular interest for leadership involvement in your community? Please rank from 1 through 10; 1 being your top rated topic of interest.

Program Requirements and Additional Information

To successfully complete the Leadership Redwood City/Belmont/Menlo Park/San Carlos/San Mateo County program, the participant must not miss more than 2 classes to graduate from the program.

Participants must have the support and commitment of their employer if not self employed.

Tuition for the Leadership Redwood City/Belmont/Menlo Park/San Carlos/San Mateo County program is $2,950.00 and is due by August 14, 2026. Credit card payment is accepted. Checks should be made out to Chamber San Mateo County.

Other tuition funding sources, such as employer or sponsoring organization, may be utilized to pay for the participant's tuition.

Withdrawal from the program following confirmation to participate may result in forfeiture of tuition.

Disclaimer: Participation in the Leadership program activities may require physical activities including, but not limited to, walking, ascending / descending stairs and standing for periods of time longer than 5 minutes. Please contact the Chamber staff if you have any questions about these activities and/or are seeking any accommodation.

I understand that completion of this application does not guarantee a candidate's acceptance into the program. I am aware of the attendance requirements and if selected to participate, I will devote the time required.