Application Form - The Leadership Cayman Programme

Programme Requirements

Note: Your name and employment data will NOT be reviewed by the Planning Committee during evaluation of applications. Please do not identify yourself in response to questions.

Name *

Home Address (max 300 characters)*

P.O Box

K.Y Code

Home Phone *

Cell Phone *

Employer Detail

Employer *

Business Address (max 300 characters)

P.O Box

K.Y Code

Business Phone*

Fax

Email Address *

Occupation *

Title

COMMITMENT OF APPLICANT: Leadership Cayman requires a major time commitment from participants, including several half-day and full-day programmes. I realise that I must attend the Opening Retreat and 9 of the 11 seminars in order to graduate. If selected, I am willing to make such a time commitment. In addition, I understand that all programmes and speakers’ comments are considered confidential. I agree to the selection process and acknowledge that I am at least 25 years of age.

You are 25 years of age or older?

COMMITMENT OF EMPLOYER: Applicants of Leadership Cayman must have the support and commitment of their business or organisation. The signature of the applicant's supervisor is necessary as an indication of this support.

Name *

has my full support for the time and personal commitment required to participate successfully in Leadership Cayman.

Title *

Employer Phone*

Email*

My tuition will be paid by (please check one):

Self

Employer

Other

Resident or Employed in the Cayman Islands since:

Education/Training: High School Degree, *Bachelor’s Degree, *Master’s Degree (*specify areas of concentration max 250 words) *

INVOLVEMENT: Please list in order of importance to you, the organisations in which you have been involved during the past few years and your leadership roles. To the right of each, indicate the time you currently devote to that organisation each month. "Example: Mentoring Cayman 8 hours per month"?

BUSINESS & PROFESSIONAL (max 250 words):

COMMUNITY (civic, religious, social, political, athletic, etc. (max 250 words)) *:

What skills or assets would you bring to the class as a participant in Leadership Cayman (max 250 words)?

Describe a significant contribution you have made to a community organisation/activity (max 250 words):

What change(s) would you implement to positively impact the future of our community (max 600 words)?

How did you become aware of this programme?

Chamber

Media

Other

Apply now

Employer Detail