Leadership Development Program Application

Name *

First Name

Last Name

Partnership at PBC is required. Are you a partner? *

Yes

No

Are you currently able to commit to the time demands of this 10 month course? This includes: *

- Monthly Workshops on the 2nd Tuesday from 6:30p-8p from September - June? - Pre/Post Workshop Assignments / Reading (4-5 hours per month)? - Coaching Sessions (1-2 hours, once per month)?

Yes

No

Are you able to pay the course registration of $75? This includes:

- Four books for required reading - All workshop materials and handouts - Other costs associated with the class

Yes

No