Leadership Lebanon Valley Application

2027 Leadership Lebanon Valley Core Application

The Lebanon Valley Chamber of Commerce is seeking applications for the 2027 Leadership Lebanon Valley Class. Please complete your application using the form below.

Please Note: The online application cannot be saved before completion. Once you begin it, you must finish and submit it or risk losing your answers. Once submitted, applications cannot be adjusted.

The deadline for the receipt of applications is December 31, 2026.

2027 Leadership Lebanon Valley Core Application

Personal Information

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone ( for use during LLV meeting days)(Required)

Personal Email(Required)

Work Email(Required)

How long have you lived/worked in Lebanon County?(Required)

Contact Preference for Alumni Directory

Preferred Name (First/Last)(Required)

First Last

Personal Email(Required)

Phone(Required)

Business/Organization(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Title(Required)

Business Phone Number(Required)

Business Email(Required)

What do you consider your highest responsibility or skill of career advancement so far?(Required)

Who referred you to LLV(Required)

Employer

LLV Alumni

Other

Additional Referral Detail

If Applicable, Please provide additional insight specific to the LLV Alumni or other selection.

Education & Specialized Training(Required)

School/Program

Dates

Degree/Major/Certification

Please list no more than 4

Employment History -Past 3 employers(Required)

Business/Organization

Dates

Title

Motivation for Applying

What is your definition of Leadership?(Required)

Limit response to 1-2 sentences

Please list participation in other leadership programs if applicable(Required)

What do you hope to gain from LLV?(Required)

Please list current/past volunteer activities(Required)

Do you have any current/past experience on non-profit boards? If yes- please list.(Required)

Use N/A if not Applicable

Contribution to the strength of the LLV Class. The Leadership Lebanon Valley classes are built of people with different backgrounds and cultures. What would you bring to the class? If selected, what would your class members learn from you? (limit response to one paragraph)(Required)

In order for us to get to know you, please write no more than one paragraph about yourself. This can include your work, family, volunteer experiences, hobbies and any information that will help us get to know you.(Required)

TUITION COMMITMENT Full tuition is $1750 ($1,700 tuition + $50 participant personal commitment) for Lebanon Valley Chamber members and $1,950 for non-members ($1,900 tuition + $50 participant personal commitment). Due to fixed costs, tuition is not refundable should a participant withdraw at any time during the course. Each participant is expected to pay at least $50 of the tuition amount (personal commitment) within three weeks of acceptance in order to hold their place in the class. No applicant accepted into the class will be turned away for financial reasons. Leadership Lebanon Valley provides payment plans and a limited amount of scholarships. (Please complete the LLV Scholarship Application if you are seeking financial assistance).

Nominees for the Leadership Lebanon Valley program must have the commitment of their employer or organization. Completing the information below indicates that the employer/organization is aware of the work-release time required and endorses the applicant. For applicants who answer directly to a board of directors, such as an executive director of a non-profit organization, please have the board president or chair fill out the information below.

Name(Required)

First Last

Title(Required)

Date(Required)

Email(Required)

Commitment must be completed by both the applicant AND the employer. You must have the full support of your employer to apply. Effective participation requires the approval and full support of an applicant’s organization including the time required to successfully complete the program.

Name(Required)

First Last

Date(Required)