Cobb Chamber of Commerce

Member Services

Cobb Youth Leadership Applications

Cobb Youth Leadership Application 2017-2018


Thank you for your interest in Cobb Youth Leadership; however, applications are closed at this time.

Before filling out the online application, please read over the documents provided in the links below.

*In case of technical difficulties, may we suggest answering and saving your responses in Microsoft Word. Then copy and paste your answers in the fields below.


Recommendation Letter Program Dates Parent Commitment Form

This application must be completed in its entirety.

I. BASIC INFORMATION

*First Name:
*Middle Name:
*Last Name:
*Name Called:
*Date of Birth:
*Gender:
*Ethnicity:
*Mailing Address:
*City:
*Zip Code:
*County:
*Home Phone:
*Mobile Phone:
*Student Email Address:
*Preferred Parent Email Address:
*Father Name
    *Emergency Number
*Mother Name
   *Emergency Number

II. ACADEMICS

Year in School as of August 2017
High School
Grade Point Average (round to the nearest tenth)
Academic honors received in high school (please list)

III. CURRENT EXTRA-CURRICULAR ACTIVITIES:

List here school activities, clubs, athletic teams, if applicable.
List here community and volunteer activities, if applicable.
List here employment, if applicable.

IV. LEADERSHIP EXPERIENCE:

List offices/leadership positions held in clubs or organizations, projects you directed/initiated if applicable.

Do you have a relative who is a Leadership Cobb Graduate? (This is the adult version of Cobb Youth Leadership)
*Disclaimer: This does not guarantee acceptance into the program, but is considered.
   If yes, name and relationship:

What personal characteristics/qualities do you have that you feel give you the potential to be a leader?

What are your plans after high school graduation?

If you are selected, how could Cobb Youth Leadership help you in achieving the above?

V. TUITION FEE:

A tuition fee of $650 is required to help offset the cost of materials, meals, lodging and bus expenses. Payment is due only upon acceptance into the program. The Leadership Cobb Alumni Association may provide a scholarship (one per year) to someone requiring financial assistance based on need.

Will you be needing financial assistance in order to participate?
   If yes, please indicate why on the parent/guardian commitment form.

VI. PARTICIPATION COMMITMENT:

1. If selected, participants will need to make a commitment of their time and ALL program events. Students must notify Chamber staff and co-chairs at least 24 hours in advance of a conflict with a scheduled program.
Participants that fail to attend any activity for any reason, may not be allowed to complete the program and his/her tuition fee will be forfeited.

2. Applicants for the Cobb Youth Leadership Program must have the support and commitment of their parents or guardians.
Click here for the parent or guardian commitment form.

3. Participants in the Cobb Youth Leadership Program are encouraged to share what they learned with their fellow classmates.

If you understand and agree to the participation guidelines, please place your initials in the box as your signature.



*Deadline for applications is April 14, 2017.

Selections will be made in June and all applicants will be notified of the results by the end of June.

Your application will not be complete without a recommendation letter and the parent/guardian commitment form. Forms may be returned by email, mail or in person. Please see specific forms for mailing instructions.

For questions please contact Ashley Warner at (770) 859-2346 or awarner@cobbchamber.org.

Thank you for your interest in Cobb Youth Leadership; however, applications are closed at this time.

Please click submit only one time.  The transaction may take several seconds.