RVA Leadership Lab 2019 – Class 9

APPLICATIONS WILL OPEN ON OCTOBER 15TH, 2018 AND ARE DUE BY 5 P.M., NOVEMBER 16TH, 2018.

INSTRUCTIONS:
This application must be completed in its entirety, as it will be the determining factor for selection. No additional pages may be submitted. If you have any technical issues completing this form please contact Austin Kitchen.

ChamberRVA | P.O. Box 1598 | Richmond, VA 23218-1598 | Austin Kitchen | Phone: (804) 783-9315 | Fax: (804) 783-9366 | E-mail: austin.kitchen@chamberrva.com

Page 1

Personal Information

Page 2

Company Information

Company Information

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Education

Additional Education

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Professional Experience

Personal Experience

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Insights

Participation in this program is limited therefore please take time and be thoughtful when answering the following questions:

   
(Please keep this answer brief, less than 200 words. Also note this answer will be printed in the program's Infopak if selected)

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Scholarship Assistance

The fee for RVA Leadership Lab is $2,900. ChamberRVA desires to have all interested people apply to the program regardless of financial status.  A limited number of need-based partial (Not to exceed $450) scholarships are available.  If interested in applying for financial assistance, please state the amount and the reason for the request below.  Scholarship assistance is not guaranteed and is designed to encourage non-profit and early stage company leaders apply to the program.   Requests for scholarship will not impact selection decisions, but the statement of need section of the application must be completed for consideration.

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Commitment

I commit to staying for the duration of the program and being actively engaged in RVA Leadership Lab

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