Selection Criteria

Participation in Leadership Lafourche is open to persons with residence or employment in Lafourche Parish. Classes typically will consist of approximately 20-25 individuals. Because the number of appointments is limited, applicants who are not selected are encouraged to reapply in subsequent years.

Participants in Leadership Lafourche will be chosen by the Leadership Lafourche Selection Committee based upon the information provided in this application. The Committee will be seeking representation from a demographic cross-section of the Parish. Participants will be community leaders and potential community leaders active in business, education, the arts, religion, government, law, media, labor, community-based organizations, and ethnic and/or minority groups, and will reflect the diversity of the Parish.

Applicants must have the full support of the organization or corporation they represent.

Attendance at the retreats and monthly sessions is mandatory. Any participant missing the opening retreat or the closing ceremony or more than one of the seven full-day programs will be automatically dropped from the program, and no portion of the tuition shall be refunded.

Confidentiality

All material included in this application will be held in confidence. The applications will be reviewed only by the Selection Committee.

DOWNLOAD THE APPLICATION HERE or fill it out below:

Leadership Lafourche Application

I. Personal Information

Name *

(Last, First Middle)

How would you prefer your name to appear in press?

Address *

Address

Address

Address

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

Phone Number

Fax Number

Email Address *

Date of Birth

(MM/DD/YY)

Gender

Male

Female

Race

Present Occupation or Employment

Business

Business Phone Number

Business Address

Business Address

Business Address

Business Address

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

How many years have you lived/worked in Lafourche Parish?

Spouse's Name (Last, First Middle)

Spouse's Occupation or Employment

II. Community Involvement

Include civic, religious, political, government, social, athletic, or other activities. Do not include business/professional activities. Indicate major role in the organization(s) at this time.

Organization

Assignment/Position

Describe Responsibilities

Organization

Assignment/Position

Describe Responsibilities

Organization

Assignment/Position

Describe Responsibilities

If you have additional significant community, civic, religious, governmental, political, social, athletic, or other areas of active involvement, please describe below.

Are there any important contributuions or achievements in any of the above which you consider significant, and what was your role in the accomplishment?

III. Employment

Present title or position, if employed or self- employed (if not employed skip to Section IV)

Briefly describe your responsibilities in your present employment

Which of the following categories best describe your present position?

Social Service

Religion

Education

Government

Business/Industry

Medical

Labor

Media

Law

OtherOther

Business/Professional Affiliations (if any) (Not including civic organizations, public office, or political activities)

Please list name of group(s), position(s) held and date(s) of affiliation

Employment Record (current or past, if not now employed) List in reverse chronology (most recent position first)

Please include employer name, title/position, dates of employment

IV. Education

College

High School

Other

List any activities, offices and/or recognitions for special contributions during your educational years

V. Self-Discovery (Do not be modest)

What do you consider your greatest personal or career achievement?

Describe what you believe to be your most significant contribution to the community (include former communities).

What would you like to contribute to Lafourche Parish and your local community?

What do you hope to gain from participation in Leadership Lafourche?

VI. Commitment to Program Participation

The Leadership Lafourche program consists of an opening retreat, six full-day programs scheduled on weekdays about one month apart, and a closing graduation program. Locations of the programs vary throughout the Parish. Attendance is critical. Do you have the full support of your employer for the time required to participate in Leadership Lafourche this year? *

Yes

No

To graduate from Leadership Lafourche, attendance at the opening retreat, the graduation program and a minimum of 5 of the 7 full-day programs is required. Are you willing to commit to this attendance requirement? *

Yes

No

If you cannot fulfill this attendance requirement but feel there are extraordinary circumstances, please explain:

Do you need to be considered for a partial scholarship for the program?

Yes

No

Leadership Lafourche is limited to approximately 20-25 participants per year. In the event that you are not accepted to the current leadership class, would you consider reapplying for the following year's class?

Yes

No

If personal or employment circumstances limit your possible participation in the current class, please explain.

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