Community Leadership Development Program
Application 2015-2016
LEADERSHIP VICTORIA’S APPLICATION PROCESS
1) Submit the Application Form with the following information:
Applicant Commitment Form
Employer Commitment Form
Letter of Support
Résumé
Response to Interview Questions
2) Be prepared for an interview in July/August to discuss your application and responses
3) Pay tuition fees upon confirmation of your application into the program (August)
4) Plan to attend an Orientation Session on August 26 or September 3.
PLEASE SUBMIT APPLICATION AND ATTACHMENTS TO:
Program Assistant
Leadership Victoria
306 - 620 View Street Victoria, BC V8W 1J6
Email to: [email protected]
Phone: 250-386-2269 / Fax: 250-386-2279
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APPLICATION FORM – PART 1
You can print and complete this form and mail or deliver it to Leadership Victoria. Or you can SAVE
AS a file on your computer (Rename it (your) Last Name First Name). Enter your answers in each
of the blank spaces-which will expand to accommodate your text. Attach the saved file to your
email and forward to Leadership Victoria.
Last Name
First Name
Home Street Address
City
Postal Code
Home Phone
Cell Phone
Preferred Email
Employer
Employer Address/Postal Code
Work Phone
Work Fax
Position
Please indicate ( or ) the sector you represent, based on your employment/volunteer history:
Corporate/Business
Government
Not-for-Profit
Faith
Community/Association
Community
Labour
Education
Other
Please Specify
Please indicate how you heard about the Leadership Victoria program:
Employer
LV Alumni
Friend
Online Promotion
Print Promotion
Other
Please Specify
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Do you know other individuals or employers that might be interested in this program?
Name
Name
Phone
Phone
Email
Email
(Please note we will only use this information to contact individual(s) about our program)
APPLICATION FORM PART 2
Please submit the following documents with your Application form. If you are emailing Part 1 of
your Application, please scan these documents, name each one so they include your Last Name
First Name, and include in your email. .
1) A letter of support (including contact information of the signatory) from a professional
mentor, community volunteer, employer, or personal acquaintance, other than a family
member, who is able to attest to your:
professional and/or community involvement/leadership
suitability/readiness for the program
Please note that Leadership Victoria may contact him/her for further information. If your
employer is sponsoring or partially sponsoring your tuition, this letter may come from their
representative.
2) Your personal commitment and, if applicable, your Employer's Commitment [see Applicant
and Employer Commitment Forms]
3) Your current résumé.
4) Your responses to the Part 3: Interview Questions. [see Interview Questions Form]
5) If applicable, please provide a brief statement outlining your need for financial assistance,
including the amount you are requesting. Please include the amount your
employer/organization is able to contribute, and the amount you are able to contribute.
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