Leadership SRV Student Registration Form

Student Registration for 2017-18 Class

Personal Information

Employment Information

Education Section

Community Involvement

How much time each month do you spend on community, civic, professional and other organizations and activities?
How much time each month do you spend on community, civic, professional and other organizations and activities?

Time Committment

In order to accomplish the program’s objectives and to realize maximum benefit, the full participation of each individual selected is necessary. Participation includes attendance at ten monthly sessions from 8 a.m. to 5 p.m. on the dates listed below. In addition, participants should expect from four to eight hours of outside preparation (interviews, research, group meetings, etc.) for most monthly classes. Participants missing more than two sessions will not graduate with the class. Sessions may be made up in subsequent years.
September 7, 2017
October 5, 2017
November 2, 2017
December 7, 2017
January 11, 2018
February 1, 2018
March 1, 2018
April 12, 2018
May 3, 2018
June 7, 2018*
*Final Class and
Graduation Ceremony

Tuition

Tuition for each person accepted in Leadership San Ramon Valley is $1,095, which contributes to the cost of facilitators, meeting locations, meals and materials. This enrollment fee may be paid by any club, organization or business, or by the individual. An installment payment plan is available. A limited number of partial scholarships are available.

Reference Section

At which email address do you prefer to be contacted for class communications?

Class material often includes attachments. If your work email typically blocks attachments, please consider choosing "personal" or "both."

Submission

APPLICATIONS MUST BE SUBMITTED ONLINE by JUNE 30, 2017.
Contact the office below for more information or with questions.

LEADERSHIP SAN RAMON VALLEY
Post Office Box 1185 Danville, CA 94526
Phone 925.272-8553
Email: leadershipsrv@att.net
www.leadershipsrv.org

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