2024 Leadership Round Rock Application

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Dear Leadership Round Rock applicant,

Thank you for your interest in Leadership Round Rock (LRR)!

LRR offers an opportunity to develop leadership skills and learn more about local issues that impact Round Rock. This program is designed to train leaders to understand the dynamics of community and the role leadership plays in its long-term success.

Complete the following application to participate in Leadership Round Rock 2024. All applications are due by 5:00 p.m. on Tuesday, October 31st. Applicants accepted into the class will be notified no later than the week of November 7th.

Contact Katarina Corona, kcorona@roundrockchamber.org, with any question about the application process.

Personal Information

First name*

Last name*

Preferred name for name tag*

Preferred email*

Best contact number*

555-555-5555

Shirt size*

Gender*

Race & Ethnicity*

List any dietary restrictions

Do you currently...*

Live in Round Rock/Williamson County? Work in Round Rock/Williamson County? Live and work in Round Rock/Williamson County? None of the above.

Have you applied for Leadership Round Rock in the past?*

Yes No

Employment Information

Current Job Title*

Company/Organization*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Is your company/organization an investor with the Round Rock Chamber?*

Yes No

Phone*

555-555-5555

Supervisor Name*

Supervisor Phone Number*

Company/Organization Website*

Supervisor Email*

Please list special awards or recognition*

Education

High School

Years

College/University

Degree

Major

Years

College/University

Degree

Major

Years

Short Answer

Why you are applying to Leadership Round Rock?.*

What you hope to gain from the program?*

What unique leadership qualities, skills, or achievements would you contribute to Leadership Round Rock?*

Civic Engagement

Organization

Position/Contribution

Dates

2016-2017

Organization

Position/Contribution

Dates

2016-2017

Organization

Position/Contribution

Dates

2016-2017

Current hours per month devoted to community and/or professional organizations*

I am not currently devoted to any organizations 1-4 hours per month 5-9 hours per month 10-15 hours per month 15-20 hours per month Over 20 hours per month

If you previously have not had the time or interest in becoming involved, what conditions have changed that now enable you to seek involvement in the community?

References

Please provide contact information for three professional references.

Name*

First & Last

Phone*

555-555-5555

Length of time known*

Name*

First & Last

Phone*

555-555-5555

Length of time known*

Name*

First & Last

Phone*

555-555-5555

Length of time known*

Program Requirements

Review and confirm the following program requirements:*

Orientation is a mandatory full-day retreat on January 17, 2024. Participants are expected to attend monthly sessions (January-December). Each participant is allowed no more than 2 absences. All program dates are listed out below. Participants are expected to complete out-of-class projects and assignments. Tuition is due on or before January 10, 2024. No refunds. My employer supports my participation in this program and/or I am using personal time to participate in this program.

Participants are required to attend and actively engage in subject-specific sessions, mandatory retreat, and graduation ceremony. Please expect each day of the program to be a full day. The 2024 tentative calendar is below:

Kick off Meeting – 1/11/24
Retreat – 1/17/23
City History & Chamber Day – 2/14/24
Class Service Project Meeting – 2/21/24
Community Involvement Day – 3/20/24
Higher Education Day – 4/17/24
County Government Day – 5/21/24

Water Infrastructure and Transportation Day - 6/19/24
State & Federal Government Day – 8/21/24
Healthcare Day – 9/18/24
K-12 Day – 10/16/24
City Day 1 – 11/20/24
City Day 2 – 12/4/24
Graduation – 12/11/24*

All sessions are from 8:00 a.m. - 5:00 p.m. except for the Kick Off Meeting and Graduation. Unless otherwise noted, expect each day of the program to be a full day.

Participants are also required to attend/participate in the following:
A community service project (approximately 20 volunteer hours)

Three of the following meetings: Round Rock City Council, Round Rock Independent School District Board, Round Rock Planning and Zoning Commission, Williamson County Commissioner’s Court, Round Rock Chamber Board of Directors

Sign your name below to confirm you have read and accept the program requirements.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Participants will be selected through a comparative assessment from the full complement of applications submitted for the program. The intent of this selection process is to create a group of the best candidates that represents a cross section of interest within the community. Applications must be received by 5:00 p.m. on Tuesday, October 31st, 2023.