Collegiate Leadership Application

Building the Future Workforce Pipeline

Step 1 of 2 — Application details

Please review the Collegiate Leadership program page before applying. In addition to the fields below, you will upload a signed Rules of Conduct & Commitment form, a letter of recommendation, your résumé, and a headshot. We recommend drafting longer answers in a document first, then pasting them here when ready to submit.

Application deadlines and program dates are posted on the program page when available. When a close date is set, it will appear here. Questions? Contact Kirby Davis, kirby@pbnchamber.com.

Accepted students participate in this program at no cost to them.

Collegiate Leadership provides approximately 30–50 students each year with an opportunity to engage with diverse student leaders from area colleges and build professional and personal skills for life after college.

The program recognizes students who have demonstrated leadership within their campus community, as well as academic success. Collegiate Leadership is a tuition-based, academic-year-long program that prepares student leaders to explore careers across nonprofit, private, public, and philanthropic sectors in Palm Beach County.

Program schedules and session dates are posted on the program page when finalized.

Contact information

Prefix

First name *

Last name *

Suffix

Preferred name (if different)

Cell phone *

Primary e-mail *

Secondary e-mail

Primary (current) address *

Address line 2

City *

ZIP code *

Permanent (home) address

Address line 2

City

ZIP code

State / province

Country

Background information (optional)

Collegiate Leadership aims to create a class that reflects the diversity of the Palm Beach County region. Your responses help our selection committee form a class with varied cultures and lived experiences.

Gender

Race / ethnicity

Date of birth

Are you an international student?

What languages do you speak fluently?

How did you hear about the program?

Are you a first-generation college student?

Educational information

University you attend *

Expected graduation month/year *

Cumulative GPA *

Major / minor *

University student ID number *

I confirm I am in good standing at my university. *

I consent to the Palm Beach North Chamber of Commerce verifying my academic standing with my university. *

Section A: List and briefly describe scholastic or other honors you have received. *

Do you plan to stay in Palm Beach County after graduating? Please explain why or why not. *

Current internship information (optional)

Internship organization

Internship title

Internship start date

Internship end date

Current employment information (optional)

Current employment status

Current employer

Current job title

Current employer street address

Employment category

General information

Section B: Describe your greatest personal achievement or most significant contribution to your campus or community. *

Section C: What outcomes do you hope to achieve from participation in the Collegiate Leadership Program? *

Section D: Describe your unique blend of personality, skills, and life experiences that you would contribute to the class. *

List any non-profit organizations you have volunteered for (past or currently).

Interest areas

Choose the three interest areas you are most passionate about (each must be different).

Interest area 1 *

Interest area 2 *

Interest area 3 *

Future career interests

Preferred sector *

What is your dream job? *

Terms & expectations

I understand that attendance at the Opening and Closing Sessions is mandatory and that attendance at all Program Days is expected.
I understand that if I miss more than one (1) program day, I will be dropped from the program without a refund of tuition and my university coordinator will be notified.
I understand that missing any portion of a program day counts as a full-day absence and that all absences require prior notification.
I accept that the Collegiate Leadership Program is a volunteer leadership program. I will not receive academic credit or wages for participation.
My employer understands I am participating in this program and will ensure my work schedule does not conflict with the program schedule. I will reserve program days from 8:00 a.m.–5:00 p.m. plus travel time to program start locations.
I understand the Chamber will provide transportation during each program day and that I am responsible for my own arrival at the designated start location each day.
I understand I must remain a full-time undergraduate student throughout the duration of the program, as defined by my university.

I accept all of the terms and expectations listed above. *