Business Leadership Academy 2025 Application

Business Leadership Academy 2025 Application

Before Submitting Your Application, Please Ensure:

• Reside or Work in Clallam County • Interested in Developing Leadership Skills • Commit to Attending All Sessions

Priority deadline November 15th.

Graduates will receive public recognition and a certificate of achievement upon completion.

First Name*

Last Name*

Phone #*

Phone

Email Address*

Date of Birth*

Gender*

Select or enter value

Mailing Address*

City*

State*

Zip Code*

Job Title

Company

Will you be able to fulfill the time commitment?*

Yes

Most of the time

Planned Absences*

Please share the dates/times you are unable to attend.

Do you have your employer's support and understanding of the time required to participate in the Business Leadership Academy?

Yes

What are you hoping to take away from this experience?*

How will your fees be paid?*

Select

If you are selected, please let us know the best way to reach you to complete registration and payment.*

Please provide preferred contact information.

Employer Payer Contact*

If you are selected, we will reach out to your employer contact for payment. Please provide their name and best way to contact them below.

I understand completion of this application does not ensure my acceptance into the Class of 2025. Tuition for each participant in the Clallam County Business Leadership Academy is $750 and will be due in full or employer guarantee by 1/15/25.*

Yes

Send me a copy of my responses

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