The Rollie Denison Leadership Institute^TM
“We are not just problem solvers, we are possibility makers.”

On-line application for the 2010/2011 class

Click Here for a printable application
Click Here for Activities and Essay instructions

Full Name:

Home Address:

City:

Zip Code:

Employer:

City:

Zip Code:

E-mail Address:

Home Phone:

Business Address:

Business Phone:

TUITION: The cost of the Leadership Institute is $600. Checks should be made payable to the Mt. Pleasant Area Chamber of Commerce. Tuition will be paid by:

Me

My employer

My sponsor

DEADLINE: Applications must be received by on-line submission or a completed printed application mailed to the Mt. Pleasant Area Chamber of Commerce,
200 E. Broadway, Mt. Pleasant, MI 48858 no later than July 20, 2010.
(Click Here for a printable application)

Applicants will be notified of selection on or before July 30, 2008. Tuition payment is due in full by August 20, 2010.

COMMITMENT: Attendance is critical to the success of the Rollie Denison Leadership Institute^TM.Your prompt and complete attendance at the monthly sessions is required for graduation. Prior to admission, we will contact your employer to confirm their commitment to your attendance and participation.

ESSAY and ACTIVITIES: Upon clicking the Submit button below, you will receive instructions on submitting an essay and list of activities that support your consideration for the Rollie Denison Leadership Institute^TM. Your application is not complete until your essay and activities are received.

Sponsoring Business or
Organization (if applicable):

Applicant signature:

Date:

Please type name here