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Leadership Morgan Hill - Program Application

First Name

Last Name

Email Address

Phone Number

Country

Address Line 1

Address Line 2

City

State

ZIP Code

Do you live in Morgan Hill?

Yes

Current Employer or Company Name (if retired)

What community activities or groups are you involved with?

How did you hear about Leadership Morgan Hill?

Attendance & Accommodations

To graduate with your Leadership class, you are expected to attend all sessions. Attendance at the Orientation Retreat and the Friday Evening/Saturday Retreat is mandatory.

Barring unforeseen emergencies, will you be able to attend all class sessions?

Yes

If no, please indicate conflict:

Leadership Morgan Hill makes every effort to accommodate those with disabilities; please note accommodation requests:

Course Tuition & Program Fee Considerations

The Standard Program Fee is $1,500. The Public Service & Community Leadership Fee (PSCLF) of $1,300 is available to employees/volunteers of public agencies, nonprofits, or community service organizations.

Standard Program Fee vs Public Service & Community Leadership Fee (PSCLF)

I qualify for the Standard Program Fee ($1,500).

I believe that I qualify for the Public Service & Community Leadership Fee (PSCLF - $1,300).

If applying for PSCLF: Organization Name & Date Range (From – To)

Program Fee Paid by Participant and/or via a Sponsorship from an Organization

Entire program fee is being paid by participant directly to LMH.

Participant will pay a portion and another source/organization will pay the remaining amount OR another source/organization is paying full program fee.

Name of sponsoring organization or other payment source (if applicable)

Scholarship Request (Up to $500 Tuition Assistance)

No scholarship requested

I would like to be considered for a Scholarship

If requesting a scholarship, please provide a short motivating narrative here:

By submitting this form, you agree that Leadership Morgan Hill may collect, store, and review your information to evaluate your submission and contact you regarding our programs and organization. We never sell your personal data.