LWP Barnes Small Business Scholarship

LWP Barnes Small Business Scholarship
TELL US ABOUT YOURSELF

First Name *

Last Name *

Company/Organization *

Briefly describe your company and the work you do. *

How do you expect Leadership Winter Park to help you on your leadership journey? *

Email Address *

Phone *

Address Block - US

Address Line 1

Address Line 2

City

State

Zip/Postal Code

TUITION INFORMATION

Tuition for Leadership Winter Park - $2,750 (Chamber Member Rate)

Subtract amount to be paid by employer: *

Subtract amount to be paid by you personally: *

Balance is the amount of tuition assistance requested: *

PERSONAL FINANCIAL INFORMATION

Please explain why you require financial assistance and should be considered for a partial scholarship. *

What other sources of tuition assistance are you exploring/have you secured? *

List your company/organization's total annual net revenue for the most recent fiscal year. *

Since funds are limited, you are encouraged to seek a sponsorship in other ways. If you are not selected as a scholarship recipient, would you still like to be considered for selection as a class participant?

Yes No

Candidates selected for scholarship assistance are required to contribute to Leadership Winter Park by participating as a volunteer for events benefiting the scholarship fund. Are you willing to volunteer for at least two events?

Yes No

By checking these boxes, I understand: *

Recipients of this scholarship are required to be or become a Chamber member. Recipients of this scholarship are required to serve on one LWP or Chamber committee and volunteer at two events during the Class term. The scholarship benefactor may request a meeting with recipients of this scholarship during the Class term.
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