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Participants for the Class of 2026 will be selected from those individuals who submit their application, non-refundable $75 application fee and any applicable scholarship documents by March 28, 2025.

All applicants are encouraged to read the information and documents on the How to Apply page prior to completing the application, particularly the attendance requirements and program dates. Information about applying for a Non-Profit, Self-Funded or Small Business Scholarship can also be found on the How to Apply page. Request for a scholarship must be made at the time of application. The deadline to submit all materials is March 28th. Tuition for the 2025-2026 program year is $3,500 and is non-refundable.

By completing this application, you acknowledge that you have reviewed the program days and can commit to attending all scheduled dates. Additionally, all class members will be expected to participate in small groups to plan a class day.

Name

First Name

Last Name

Preferred Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

###

####

I give permission to employees of Leadership Washington County to send text messages to my mobile phone.

Yes

Work Email

Personal Email Address

Preferred Email Address

If accepted, this should be an email you check on a daily basis and will be used to communicate important Class Day information and updates.

Work

Personal

Years in this Area

How did you hear about the program?

(Include any graduates that have told you about the program.)

Leadership/Experience

Please list community, civic, professional, business, religious, athletic, and other organizations in which you are or have been a member. Please include the organization name, dates of membership, and official positions held.

Briefly indicate what you have accomplished in any one or more of these activities that you think is important.

In your opinion, what are the two most pressing challenges facing the Washington County community today?

In your opinion, what do you see as the greatest strengths of the Washington County community today?

Employment

Present Employer

Years with Employer

Job Title

Type of Business

Work Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

####

Education/Training

Other Work Experience

References

Please list three references (full name, email & phone).

The tuition to participate in Leadership Washington County will be provided by:

Scholarship

Are you planning to apply for a scholarship?

If you apply for a scholarship, please email Tara@leadershipwashingtoncounty.org a letter of recommendation by 3/28/2025

Leadership Washington County has worked hard to ensure that the cost of the program does not inhibit a deserving individual from participating. Please explain why you would like to be part of this year's class and how a scholarship is necessary for your inclusion.

**Additional documentation or information may be requested by the LWC Board of Directors in order to consider scholarship evaluation**

Disclaimers:

Scholarships do not fund 100% of tuition. Small Business & Non-Profit scholarships are awarded to the organization, not the class member. If the class member leaves the employ of the organization prior to July 31, the organization may request a substitution in accordance with Leadership Washington County’s Substitution Policy. If the class member leaves the employ of the organization after July 31, but before the class retreat, the organization may defer any tuition paid to the next program year when a new candidate may be considered or it may forfeit any tuition paid. The scholarship awarded to the organization shall be rescinded and those monies will be returned to the LWC scholarship fund for future use. The organization must reapply to be considered for any future scholarships and any increases in tuition are the responsibility of the organization.

Is there any legal reason, past or present, why you would be unable to visit schools?

By applying, Leadership Washington County reserves the right to request a background check.

Yes