Program Application Form

The application deadline for the 2024-2025 cohort is: August 11, 2024

Program Days will typically be on the 3rd Friday of each month from September 2024 through May 2025. One TBD month will have an additional session, which will be held jointly with Leadership Sunnyvale.

Applicants Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

Contact Phone Number

(###)

###

####

Personal Website

Applicant's Personal Website or LinkedIn

http://

Years Living (or working) in Mountain View

How long have you lived or worked in Mountain View, you can round up to the nearest number.

Employment

Employer/Firm

Title/Position

Work Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

####

Work Email

Responsibilities

Briefly describe your current job responsibilites

Education

List schools or colleges attended and certificates or degrees completed

Community/Volunteer/Leadership Activities

Experience in these areas is not a prerequisite for LMV. It would be helpful, however, to know about examples of community, civic, professional, or social activities in which you have participated. Highlight leadership aspects of these examples, if applicable.

Goal

What do you hope to gain from your participation in Leadership Mountain View?

Your Participation

Please explain how your participation in LMV will benefit the incoming class and the Mountain View community.

How did you hear about LMV?

Who referred you?

If someone referred you to the program, please provide their full name.

Recommendation

Please ask a person who is not related to you, but who is familiar with your abilities and accomplishments, to write a letter of recommendation. The letter must be received by Leadership Mountain View by August 11th. The letter should be emailed to LMV Program Director, at director@lmv.education. Note: If you are recommended by an LMV Sponsor or if your tuition is being paid in full by your employer, skip this step.

Application Fee

There is a $30 non-refundable application fee due once you submit this application (a new screen will appear ).

Are you or the company you work for active Chamber of Commerce members?

Yes

Unknown

TUITION

Standard tuition is $1,850. Active Chamber of Commerce members can get a 10% discount, resulting in tuition of $1,665. Applicants selected for the program will receive an invoice for the tuition via email. Full payment will be due by September 1st. Payment instructions will be outlined in the email and include options for payment via ACH, check, or credit card. Notes: 1. If the applicant wants to discuss a payment schedule instead of payment in full by September 1st, email the LMV Director at director@lmv.education. 2. If the applicant wants to inquire about the possibility of financial aid, see the "Financial Aid" section below.

Who will pay Tuition

If "other" please specify

If tuition will be paid by your employer, please provide the name and email of your billing contact.

Employer payment contact name

First Name

Last Name

Employer payment contact email

Financial Aid

Do you think you may need financial aid?

Financial Aid Explanation

Please Explain your financial need in detail.

Financial Aid

Limited financial aid may be granted on a case by case basis, depending on available funds. Financial aid to participants is based on the following two primary criteria: 1. Applicant's financial need. 2. Applicant's contribution to ensuring a broad spectrum of community representation and participation in the program.

Refund Policy

Withdrawal from the program following confirmation to participate will result in forfeiture of tuition unless an alternate representative is confirmed and accepted as a replacement in the class, prior to its first session.

Attendance Policy

ATTENDANCE POLICY In order for Leadership Mountain View to accomplish its goals, the full participation of each individual on the designated Friday of each month is mandatory. The following will result in dismissal from the program: * Absences in excess of the equivalent of three full program days (no more than 24 hours). * Each tardy is regarded as 1/2 equivalent program day absence. * Attendance on the first class day is mandatory.