Leadership George County Application
Next Class Starts In 2025

Before starting this application, please download the Participation Agreement. Upload the completed agreement below.

First name

Last name

Address (Street Number, Street, City, State, Zip)

Phone

Date of Birth

Gender

Race/Ethnicity

Length of Residence

Employment

Title

Employment Address (Street Number, Street, City, State, Zip)

Business Phone

Length of Employment

Education & Training

School/Training, City/State, Dates, Degree 1

School/Training, City/State, Dates, Degree 2

School/Training, City/State, Dates, Degree 3

School/Training, City/State, Dates, Degree 4

Employer, City/State, Position/Title, Length of Employment 1

Employer, City/State, Position/Title, Length of Employment 2

Employer, City/State, Position/Title, Length of Employment 3

Employer, City/State, Position/Title, Length of Employment 4

Organization, Dates, Position Held/Contribution 1

Organization, Dates, Position Held/Contribution 2

Organization, Dates, Position Held/Contribution 3

Organization, Dates, Position Held/Contribution 4

How did you learn about Leadership George County?

What skills, interests and abilities would you bring to the program?

Do you have any food allergies or health issues that would limit your abilities to participate in the program?

What are George County's three best assets?

What are the three most assets notable opportunities that George County has to offer?

What are the three most significant challenges/issues facing George County today?

Explain what you hope to gain from your Leadership George County Experience