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St. Charles, MO

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Home
About
- About Us
- Vision Alumni
  - Alumni Login
Programs
Calendar
- Event Calendar
Gala
Partners
- Our Partners
- Call To Sponsors
Store
Contact

Vision Program Application

The program cost is $1200 plus a non-refundable $25 application fee, totaling $1225. Please remit a $25 check, made payable to Vision Leadership for the application fee along with this application. This fee will be returned to any applicant that is not accepted into the program. The $1200 tuition balance is due before the Opening Reception.

For more information, contact our Chairman at exec@visionleadership.org

Application Info

First Name *

Last Name *

Preferred

Email Address *

Phone *

Street Address *

City *

ZIP / Postal Code *

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Company Info

Work Email

Work Phone

Company Website

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

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More About You

Do you have special dietary needs?

Years Worked in St. Charles County* *

Years Lived in St. Charles County* *

Photo of Drivers License (upload)

No file chosen

Optional - Now or Later

Emergency Contact Information

Prefix

First Name *

Last Name *

Relationship to applicant *

Phone *

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Employer Information

Is your employer paying tuition or will you be paying it yourself? *My EmployerMyselfBoth (shared)

Employer Title *

Employer Phone

Street Address *

City *

State/Province *

ZIP / Postal Code *

Please list previous positions held with your present employer and/or other employers, in reverse chronological order:

Employer *

Title *

Time Period *

Employer *

Title *

Time Period *

What do you consider your most important career accomplishment? *

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Community & Professional Involvement

Please list civic, professional, business, religious, social, athletic, or other organizations in which you are currently or having previously been a member of:

Organization

Position

Period of involvement

Briefly state any accomplishments in the above organizations that you consider significant and explain your role:

If you have previously not had time or interest to become involved, what conditions have changed that now enable you to seek community involvement?

Why do you think you should be selected to participate in Vision St. Charles County Leadership?

If you were asked to find a solution to an issue St. Charles County faces, in your opinion, what are the three most critical issues?

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Personal History

Do you have any limitations or require reasonable accommodations under the ADA?YesNo

If Yes, Then please explain

Have you ever been convicted or pled guilty to a criminal charge or local ordinance violation?YesNo

If yes, specify offense, date and court that has record of thereof:

Have you ever been the subject of a complaint or investigation concerning alleged child abuse or neglect, or on any state Dept. of Social Services disqualification list?YesNo

If yes, specify offense, date and agency that has a record of thereof.

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Professional References

Please list two individuals knowledgeable with respect to your leadership capabilities and your past performance.

First Reference:

Name *

Organization *

Title *

Phone *

Second Reference:

Name *

Organization *

Title *

Phone *

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Commitment

To graduate from the Vision St. Charles County Leadership Program, a participant is required to attend all sessions. Attendance for both overnight retreats is mandatory. A majority of the sessions are on the third Thursday of each month; however, those are subject to change based on holidays or other events.

A class member is allowed one absence throughout the program year. An absence of more than one hour from a program day counts as an absence.

How did you learn about the Vision Leadership program?

Will you be able to fulfill the attendance commitment?YesNo*If you are accepted into this year’s Vision class and you find during your time in the program that you are unable to fulfill the attendance commitment by missing more than 2 full program days, you will be asked to leave the program. You may reapply for next year’s class at the full tuition price.

Applicant Commitment & Release of Liability

If selected as a participant in the Vision St. Charles County Leadership Program, I am willing to attend all the functions sponsored by the program, and I understand that attendance is mandatory. I understand that if I fail to meet any of the obligations of the program, I may be asked to withdraw or may not graduate with my class. I also accept liability for myself throughout the program.

I hereby release Vision St. Charles County Leadership, its officers and directors, of all liabilities for injuries and damages sustained by me in connection with the Vision St. Charles Leadership Program.

Authorization *AllowedDisclaimer: I hereby authorize the Vision St. Charles County Leadership Program to communicate via email about program activities.

Signature required *

Your signature here

Type Your Full Name *

Date *

Application FeeI acceptYour fee for this application is $25.00

Credit / Debit Card *

Thank you for your application to:

Vision St. Charles Leadership Program

Review before applying:

Applicant Policy

Applicants are not required to live in St. Charles County but must work or have an established interest in the County.
Vision St. Charles County Leadership is an equal opportunity program and does not discriminate applicants based on disability, age, race, religion or sex.
The Board of Directors reserves the right to accept or reject any applicant without cause. Vision St. Charles County Leadership has a target class size of 30-35 participants.
Please provide a copy of your driver’s license in order for a background check to be performed for access to certain facilities and the program Commitment
To graduate from the Vision St. Charles County Leadership Program, a participant is required to attend all sessions. Attendance for both overnight retreats is mandatory. A majority of the sessions are on the third Thursday of each month; however, those are subject to change based on holidays or other events.

Required sessions :

Welcome Reception – August 6, 2020
Leadership Retreat – August 19 & 20, 2020 – Mandatory
Tourism Day – September 17, 2020
Media/Education Day – October 15, 2020
County Government Day – November 19, 2020
Economic Development Day – December 17, 2020
Quality of Life Day – January 28, 2021
Jefferson City Trip – February 17 & 18, 2021 – Mandatory
Leadership Skills & Presentation Day – March 18, 2021
First Responders Day – April 15, 2021
Graduation Gala – April 29, 2021 (subject to change)

A class member is allowed one absence throughout the program year. An absence of more than one hour from a program day counts as an absence.

Contact Info

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Address

3900 Shady Springs Ln
St Peters, MO 63376

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Phone

(636) 486-6005

About Vision Leadership

Vision Leadership is a rewarding personal experience that fosters lifelong relationships. We have a thriving alumni group consisting of more than 500 distinguished individuals.

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