2017-2018 Program Overview and Application
Leadership Dutchess is the signature program of The Chamber Foundation, Inc. and is proud to celebrate over 25 years of
educating and motivating aspiring citizens to serve in leadership roles within our community.
This prestigious leadership program is designed to foster the development of a group of professionals who grow and learn
together over a nine-month period through a variety of experiences that include lively discussions, interactive exercises,
experiential roles, community service and ongoing feedback.
Leadership Dutchess classes and events are held once per month September – June. The nine monthly full-day sessions
will be held at different locations in Dutchess County and are generally from 8:00 am – 5:00 pm. It is mandatory that you
attend seven of the nine monthly sessions including the overnight retreat. No more than sixteen hours can be missed by
each participant - late arrivals, early departures and appointments during class also count toward missed hours.
By the end of this nine (9) month program you will:
 Recognize your personal leadership strengths and know how to use them most effectively.
 Perceive and build on the strengths inherent in others to create powerful alliances to achieve mutual goals.
 Learn how to use your personal influence to inspire and develop collaborative relationships.
 Learn to respond effectively to dynamically changing conditions both in the workplace and in your community.
 Become aware of your impact on others, learn to create your desired impact and begin to take responsibility for
that impact in your professional life and in your community.
 Be ready to assume new responsibilities and leadership roles in your organization and in your community.
You will also:
 Develop personal/professional growth due to exposure to community issues and leaders.
 Participate in an informative, eye-opening, thought-provoking program.
 Visit “restricted” or difficult to access programs and facilities in our county.
 Open a window for volunteer opportunities.
 Become a member of an exclusive community of nearly 600 Leadership Dutchess graduates!
Tuition for the 2017-2018 Leadership Dutchess program is $1,195. This covers all costs including the overnight
retreat, meals and all course materials. Tuition is due upon acceptance into the program, no later than August 18, 2017.
Tuition is non-refundable.
A limited amount of scholarships based on financial need are available.
845.454.1700 ext. 1026 or email [email protected].
Please contact the Foundation office at
Applications and supporting documents are due to The Chamber Foundation by June 2, 2017. Applicants must have
recommendation from his or her employer. Applicants will be reviewed by the committee; select applicants will be
granted an interview and notified of acceptance. Class size is limited. For more information on the Leadership
Dutchess program please contact Nicholas Shannon, Executive Director of The Chamber Foundation, at 845.454.1700
ext. 1026 or by email at [email protected].
Return Completed Applications by June 2, 2017
Leadership Dutchess
The Chamber Foundation, Inc.
One Civic Center Plaza, Suite 400
Poughkeepsie, NY 12601
845-454-1700
ChamberFDN.org
2017-2018 Application for Candidacy
Name: [ ] Mr. [ ] Mrs. [ ] Ms. ______________________________________________________________________
Home Phone:
Cell Phone:_______________________________
Home Mailing Address:
City:
State:
Zip:
State:
Zip:
Home Email Address______________________________________
Name of individual or organization sponsoring your candidacy:
Occupation/Title:
Business Address:
Business Telephone:
Employer:
City:
Email Address:
Immediate Manager’s Name ___________________________Manager’s Phone Number ___________________________________
Immediate Manager’s Title___________________________________________________________
Preferred "first and last name" to be used on name tag:
1. How long have you lived/worked in the Dutchess County area?
2. What is your education background? (Please attach a current resume)
High School attended:
Year graduated:
College attended:
Year graduated:
Degree:
Year graduated:
Highest degree received:
Year received:
3. List some of your past accomplishments:
At work:
Outside of work:
4. Why are you applying to be a part of Leadership Dutchess?
5. Briefly describe your concept of leadership:
6. Currently, how would you rate your strength in leadership?
1
2
3
4
5
Weak
Strong
Explain:
7. Please list/explain other leadership training that you have received. ___________________________________________________
8. What unique attributes would you bring to the Leadership Dutchess class?
9. List some community organizations in which you are actively involved and/or any boards your sit on. (Community, civic,
professional, business, religious, social, athletic, or other). List the role that you play in each.
10. Where do you see yourself 5 years from now in your career? What are your career goals? ________________________________
11. How did you learn about Leadership Dutchess?
[ ] Newspaper
[ ] Business
[ ] Friend
[ ] LD Alumni
[ ] Other:
APPLICATION DEADLINE IS JUNE 2, 2017
Completed applications should be mailed to:
Leadership Dutchess
The Chamber Foundation, Inc.
One Civic Center Plaza, Suite 400
Poughkeepsie, NY 12601
Phone: 845.454.1700 ext. 1026
Fax: 845.454.1702
[ ] Website
Employer Recommendation Form
Leadership Dutchess is a program intended for persons in positions of leadership or influence in the Dutchess County area who can benefit from
additional educational and practical experience. This program can enhance their capacity for greater communications, understanding of community
issues, and improving the quality of life in the Dutchess County area. The program is sponsored by The Chamber Foundation, Inc.
A recommendation by the employer is a desirable part of the application process. Your responses will be kept strictly confidential.
The
recommendation also includes a commitment by the employer that the employee will be released from work responsibilities for one full day of
activities for each of the nine business-day sessions and will receive support in committing time to the two class projects (Community Service project
in April and a class fundraising project determined by each individual class). To graduate from the program, attendance is mandatory for at least
seven of the nine monthly sessions including the overnight retreat. No more than sixteen hours can be missed by each participant - late arrivals, early
departures and appointments during class also count toward missed hours. Tuition is non-refundable.
Please return this form on or before June 2, 2017 in a sealed envelope to:
The Chamber Foundation, Inc.
One Civic Center Plaza, Suite 400, Poughkeepsie, NY 12601
Applicant's Name:
Your Name: Mr. Mrs. Ms.
Your Address:
(Street)
(Apt.)
Your Telephone Number:
(City, ST)
Your Email
How long have you known the applicant? _____ years
If yes, please explain the nature of the business, professional or community interaction:
Why are you recommending this applicant for Leadership Dutchess?
List applicant’s areas of strengths:
List applicant’s areas of improvement:
(Zip)
How do you evaluate the applicant's management and/or organizational skills?
1
2
Poor
3
4
Average
5
Excellent
How do you evaluate the applicant's demonstration of initiative in the generation of ideas and/or development of special projects?
1
2
Poor
3
4
Average
5
Excellent
How do you evaluate the applicant's ability to be flexible and work with others?
1
2
Poor
3
4
Average
5
Excellent
How do you evaluate the applicant's ability to carry out the management responsibilities necessary to accomplish organization goals
and objectives?
1
2
Poor
3
4
Average
5
Excellent
How do you evaluate the applicant's ability to see the broader scope of issues, whether in the work place or the community?
1
2
Poor
3
4
Average
5
Excellent
In your opinion, does the applicant have the potential to emerge as a community leader -- to hold leadership positions on boards of
directors, to lead fund drives, to run for elected office?
1
Poor
2
3
Average
4
5
Excellent
Additional Comments:
If your employee is accepted into the program, you fully understand the time commitment and that the employee will be released from work
responsibilities for one full day of activities for each of the nine business-day sessions and will receive support in committing time to the two
class projects (Community Service project in April and a class fundraising project determined by each individual class).
Yes, I have read the above statement and will support my employee candidate if accepted into the program.
Employer Signature __________________________________________________________________ Date
Personal Recommendation Form
Leadership Dutchess is a program intended for persons in positions of leadership or influence in the Dutchess County area who can
benefit from additional educational and practical experience. This program can enhance their capacity for greater communications,
understanding of community issues, and improving the quality of life in the Dutchess County area. The program is sponsored by The
Chamber Foundation, Inc.
Your response(s) will be kept strictly confidential. A recommendation by a personal reference is an integral part of the application
process.
Applicants Name:
Your Name: Mr. Mrs. Ms.
Your Address:
(Street)
(Apt.)
Your Telephone Number:
(City, ST)
(Zip)
Your Email
Your Community Involvement:
How long have you known the applicant? _____ years
Why do you feel this applicant would benefit from the program?
In your opinion, does the applicant have the potential to emerge as a community leader -- to hold leadership positions on boards of
directors to lead fund drives, to run for elected office? YES or NO (circle one) and why?
Please return this form on or before June 2, 2017 in a sealed envelope to:
The Chamber Foundation, Inc.
One Civic Center Plaza, Suite 400, Poughkeepsie, NY 12601
845.454.1700 ext. 1026