Leadership Greater Manchester Application - Greater Manchester Chamber

Personal Contact Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email *

Employer Information

How long have you lived and/or worked in the Manchester area? *

Name of Business/Organization *

Please enter the name of the business or organization that you are applying for Leadership Greater Manchester

Title *

Please enter your work title

Business/Organization Address

Business/Org Street Address *

Business/Org City *

Business/Org State *

Business/Org Zip Code *

Business/Org Phone Number *

Enter the best number in which you can be reached at your place of work

Business/Org Email *

Enter the email address in which you can be reached at your place of work

Supervisor’s Information

Supervisor First Name *

Supervisor Last Name *

Supervisor Title *

Supervisor Phone Number *

Supervisor Email *

Short Answers

Please answer the following questions in 500 characters or less. It is recommended that you copy your answers from a saved Word Document and past into the sections below. This will help to avoid losing your work, in the unlikely chance that your submission does not go through.

How did you hear about Leadership Greater Manchester? *

Have any other employees of your company/organization completed the Leadership Greater Manchester Program *

Yes
No
Not Sure

It is the mission of the Greater Manchester Chamber to bring together business and community to enhance economic success and quality of life in our region. We want to see Manchester become a vibrant and prosperous destination for business and people. How do your professional goals align with the Chamber's mission and vision? *

Why do you think Leadership Greater Manchester will help you meet your personal and professional goals? *

In your mind, what would the "ideal" Greater Manchester area look like to you? *

Financial Assistance

Please complete the answers to the following section if you are requesting financial assistance to complete the Leadership Greater Manchester Program. If you are not requesting Financial Assistance, you may skip to the next section.

Is your employer willing to pay a portion of your tuition through this program? *

Yes
No

If you answered “yes” above, what is the amount?

If your employer is unable to cover all or part of your tuition, will you require financial assistance? *

Yes
No
N/A

Name any other sources of financial assistance that you have pursued for this program? If this does not apply to you, please write “n/a”.

If this does not apply to you, please write “n/a”.

Would a payment plan help you in meeting the tuition obligation?

Yes
No
N/A

Is there any other information you can provide that would help the committee in determining financial assistance?

Other Required Materials

Professional Resume *

Drag & Drop Files, Choose Files to Upload

Please upload your resume.

Letter of Recommendation *

Drag & Drop Files, Choose Files to Upload

Please upload a letter of recommendation from a leader who you admire in the greater Manchester business community.

Applicant & Employer Commitment Form *

Drag & Drop Files, Choose Files to Upload

The Applicant & Employer Commitment Form can be found and downloaded here.

If I am accepted into the LGM Program, I agree to a $100 personal contribution toward my tuition *

Yes
No

Personal Contact Information

Employer Information

Business/Organization Address

Supervisor’s Information

Short Answers

Financial Assistance

Other Required Materials

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Business Hours

Personal Contact Information

Employer Information

Business/Organization Address

Supervisor’s Information

Short Answers

Financial Assistance

Other Required Materials

Follow the Current of the GMC

Explore

Business Hours