Hancock Leadership Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Selection will be based on: Quality of response on the application Meeting the deadline for application: The application must be received at the Chamber on or before June 7, 2025. Form Instructions: This form does not save your information if you leave it. Please have all your information ready in order to fill out the form. Please assume all fields are required. If you have no information for that field, please enter Not Applicable. Once you submit the form, you will not be able to go back and change items. Again, please have information ready before submitting. Hancock Leadership Class of 2026 Application PersonalApplicant Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *EmploymentPast Length of Residence/Employment in Hancock County: *Less than a year1 to 5 years6 to 9 years10+ yearsFuture Length of Residence/Employment in Hancock County: *Less than a year1 to 5 years6 to 9 years10+ yearsCurrent Employer *Date Employment BeganEmployer AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneTitle sinceEmployer AddressPrevious Employer Responsibility Date From Date ToWhat do you consider your highest responsibility, skill or career achievement to date? *EducationBegin with high school, then college, business/trade schools and /or specialized training.School Name & City Degree/MajorDate FromDate ToSchool Name & CityDegree/MajorDate FromDate ToSchool Name & CityDegree/MajorDate FromDate ToActivity ServiceIdentify the volunteer role you are currently serving that is of most importance to you. Organization & Position *Explain why you became involved, and why this activity is of importance to you. *List up to five other community, civic, professional, business, religious, social, athletic, and other organizations of which you are or have been a member with your service hours per month. 1. Organization *Position *Hours/Month *Date from – Date To *2. OrganizationPositionHours/MonthDate from – Date To3. OrganizationPositionHours/MonthDate from – Date To4. OrganizationPositionHours/MonthDate from – Date To5. OrganizationPositionHours/MonthDate from – Date ToPlease indicate any special recognition or awards for volunteer/service activities.If you have previously not had the time or interest to become actively involved, what conditions have changed that now enable you to seek involvement in the community?Issues & ObjectivesIdentify potential growth areas within your business and volunteer life. How do you think your involvement in Hancock Leadership will help you attain your growth potential? *In your judgement, what do you consider as a pressing challenge that needs to be addressed by the people of Hancock County? Explain why, and identify your recommendations for approaching and resolving this issue. *Personal ReferencesPlease provide the names of three (3) individuals familiar with your community activities to serve as references. No more than one business reference. References from family members are not advisable. 1. Name *Address *Phone *Email *2. Name *Address *Phone *Email *3. Name *Address *Phone *Email *Commitment for ParticipationIn order for Hancock Leadership to accomplish its mission and objectives, the full participation of each individual selected is required. This includes one full day per month of the program, a retreat, and participation in the service project with your fellow classmates. Attendance is required at a minimum of 7 of the 9 monthly sessions, with the retreat and class project being mandatory. Will you be able to fulfill this commitment? *Do you have the full support of your employer and family for the time to participate in Hancock Leadership? *Finances & Scholarships Address Employment Phone If you are accepted into the Hancock Leadership program, you or your company/sponsoring organization will be billed for the tuition fee of $985.00, which is due and payable by September 1, 2025. I am in need of scholarship assistance. *YesNoSignatureApplicant's Digital Signature *By typing your name in the space provided, you confirm this form is correct.Submit