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Amped Up Leadership Academy

Cohort Application

Thank you for your interest in the Amped Up Leadership Academy!


Amped Up is a six-month leadership development experience designed for emerging leaders, current supervisors, high-potential employees, and professionals who are ready to grow their leadership skills and make a greater impact within their organization and community.



Our first cohort will be limited to approximately 20 participants. Applications will be reviewed to select a diverse group of participants who demonstrate leadership potential, a desire to grow, and a commitment to fully participating in the academy.

Applicant Information:
* Name
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* Job Title:
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* Employer/ Organization:
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* Email:
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* Phone:
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* How long have you been with your current organization?
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Tell Us About You
* Why are you interested in participating in the Amped Up Leadership Academy, and what do you hope to gain from the experience?
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* Tell us about a time when you stepped up, took initiative, or helped lead others — even if leadership was not part of your official job title.
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* What is one leadership skill or area in which you would most like to grow?
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* What is something you would bring to the Amped Up cohort? This could be a perspective, experience, strength, personality trait, industry background, or something else that would contribute to the group.
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Looking Ahead
* Where would you like to see yourself professionally in the next 3–5 years?
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* Are you currently in a formal supervisory or leadership role?
* Have you participated in a leadership development program before?
If yes, please briefly describe:
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Commitment to the Academy

Amped Up is a six-month program meeting one full day each month from 8:00 AM–3:00 PM. Active participation and attendance are an important part of the experience.
* Are you able to commit to attending all six scheduled academy sessions?
* Does your employer/supervisor support your participation in the Amped Up Leadership Academy?
* Supervisor Name:
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* Supervisor Title:
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* Supervisor Email:
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* Supervisor Phone:
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Final Question
* Why should you be selected for the inaugural Amped Up Leadership Academy cohort?
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Applicant Commitment

By submitting this application, I understand that space in the Amped Up Leadership Academy is limited and submission of an application does not guarantee acceptance. If selected, I agree to actively participate in the program, engage with fellow cohort members, and make attendance at each session a priority.
* Applicant Signature (electronic)
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* Date
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Northmont Area Chamber of Commerce | 1150 W. National Rd. | Englewood, OH 45315 US

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