2024-2025 Application

APPLICATIONS ARE NOW BEING ACCEPTED FOR THE LEADERSHIP TOMORROW CLASS OF 2025 BEGINNING IN SEPTEMBER OF 2024.

For additional information, please call 949-729-4400.

METHODS OF APPLYING

Please fill out all fields and submit your application online using the online form below.

This is the preferred method of applying.

There is no cost or obligation to apply to the program.

OR

You can also download the application in PDF form, print it, complete, scan and submit.

Once completed please mail or email to: Leadership Tomorrow, ATTN: Jeff Parker 4343 Von Karman Ave., Ste 150-W, Newport Beach, CA 92660.
Fax: (949) 729-4417 | eMail: jparker@newportbeach.com | phone: (949) 729-4408

2024-2025 Application (Printable PDF)

2024 - 2025 Application
This form will not save your work if you leave the browser page. You may want to complete your entries outside of this form and paste your responses.
Name*
First Last
eMail*
Address (preferred):*
Street Address Address Line 2 City State ZIP Code

Home or Work
To which address should we mail Leadership Tomorrow communications?
- Home
- Work
Preferred Phone:*
REFERENCES
Please list two persons (excluding relatives) who are familiar with your activities and accomplishments.
Reference #1:
First Last
Position:
Phone:
Reference #2:
First Last
Position:
Phone:
EDUCATION
(Please list from the most recent.)
School:
Area of Study:
Degree:
School:
Area of Study:
Degree:
School:
Area of Study:
Degree:
EMPLOYMENT HISTORY
Current Organization:
From Date:*
MM slash DD slash YYYY
To Date:*
MM slash DD slash YYYY
Address:
Street Address Address Line 2 City State ZIP Code
Phone
Position(s) Held:*
Describe Responsibilities:*
Previous Organization:
From Date:*
MM slash DD slash YYYY
To Date:*
MM slash DD slash YYYY
Address:
Street Address Address Line 2 City State ZIP Code
Phone
Position(s) Held:*
Describe Responsibilities:*
ACCOMPLISHMENTS
Briefly describe any significant accomplishments, honors, awards, or positions held (professional, academic, community service, etc.)
COMMUNITY INVOLVEMENT ACTIVITIES
Are you currently involved in any community service / community leadership activities? If so, please name the organization(s) and describe what you have accomplished in one of more of these organizations that you believe to be particularly significant.*
COMMUNITY INTERESTS / GOALS
In which of the general community issues listed below do you have a strong interest? (Please check one or more.)*
- Local Government
- Planning/Development/Urban Redevelopment
- Transportation
- Environmental Quality
- Arts & Culture
- Employment
- Community
- Education
- Underserved Population Issues
- Senior Citizens
- Economic Growth/Development
- Public Safety & Justice
- Housing
- Sports & Recreation
- Health & Medical
- Human Services
- Role of the Media
- Youth
- Other (describe below)
Other:
How do you believe the challenges faced in the area(s) you checked can be addressed.
In which of these community activities/services are you interested in serving? (Please check one or more)
- Elective Public Service (e.g. Mayor, City Council, School Board, County Commission, Board of Supervisors, Special District Board, etc.)
- Appointed Public Service (e.g. City or County Government Agencies, Board, Commissions, Advisory Committees, etc.)
- Director on the Board of Community Organizations (e.g. United Way, Chamber of Commerce, Civic Clubs, Special, etc.)
How did you learn about Leadership Tomorrow?*
If your participation in this program would be sponsored in whole or in part by a company or organization, please provide their contact info:
If you are a qualified individual with a disability, you may request a reasonable accommodation to apply for or participate in this program. You may request reasonable accommodations by contacting Jeff Parker at the Newport Beach Chamber of Commerce, jparker@newportbeach.com.
Applicant's Signature (enter initials):*
Date:*
MM slash DD slash YYYY
Thank you for your application. You will be contacted for an interview. For any questions, please contact Jeff Parker. jparker@newportbeach.com (949) 729-4408 Please note: Leadership Tomorrow tuition is currently $1,500. Limited Financial Aid is available.

Apply

METHODS OF APPLYING

This is the preferred method of applying.

OR

2024 - 2025 Application

REFERENCES

EDUCATION

EMPLOYMENT HISTORY

ACCOMPLISHMENTS

COMMUNITY INVOLVEMENT ACTIVITIES

COMMUNITY INTERESTS / GOALS