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Application Form
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– Personal Information
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Select which chapter you are applying to
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This Chapter is no longer accepting applications for this season. Please continue to fill out and submit this form to be considered for next season.
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Please provide two references; Name, contact information, and their relationship to you.
Name
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Relationship to you
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Please provide two references; Name, contact information, and their relationship to you.
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Relationship to you
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Please provide two references; Name, contact information, and their relationship to you.
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How did you hear about the Solomon Leadership Program?
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Some of these answers will be published in the Intro Booklet, or distributed to the Fellows and Mentors of your Chapter.
What volunteer work do you participate in?
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What is the name and contact information of the organization(s) you volunteer with?
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What are your hobbies?
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What extracurricular activities do you participate in?
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What are three words that would best describe you?
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What career fields are you interested in?
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What keeps you motivated?
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What are you passionate about?
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In twenty years I see myself…
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Have you created a list of goals to achieve this vision?
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What role do you think a mentor can play in your life?
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Are you looking for a mentor strictly related to your career interests or for a more personal relationship?
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How have you handled constructive criticism in the past? Is it hard for you to swallow? Does it ultimately push you into action?*
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Are you hoping to establish a long term relationship with your mentor or do you prefer to take things one day at a time?
I would like to try and establish a long term relationship with my mentor.
I prefer to take things one day at a time.
Third Choice
Is there anything that you would change about yourself?
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Why do you think the Solomon Leadership Program is a good fit for you?
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What do you hope to gain from a relationship with a mentor?
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Please confirm that you are available on the following days for our program meetings
*
Meet & Greet -Tuesday, November 2, 2021 5:00 – 7:00 pm
Character – Tuesday, November 16, 2021 5:00 – 7:00 pm
Tolerance – Tuesday, December 7, 2021 5:00 – 7:00 pm
Communication – Tuesday, December 21, 2021 5:00 – 7:00 pm
Vision – Tuesday, January 11, 2022 5:00 – 7:00 pm
Empowerment – Tuesday, January 25, 2022 5:00 – 7:00 pm
Persistence – Tuesday, February 8, 2022 5:00 – 7:00 pm
Strategy – Tuesday, February 22, 2022 5:00 – 7:00 pm
Judgment – Tuesday, March 8, 2022 5:00 – 7:00 pm
Graduation – Tuesday, April 5, 2022 5:00 – 7:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet – Wednesday, November 3, 2021 7:00 – 9:00 pm
Character – Wednesday, November 17, 2021 7:00 – 9:00 pm
Tolerance – Wednesday, December 1, 2021 7:00 – 9:00 pm
Communication – Wednesday, December 15, 2021 7:00 – 9:00 pm
Vision – Wednesday, January 5, 2022 7:00 – 9:00 pm
Empowerment – Wednesday, January 19, 2022 7:00 – 9:00 pm
Persistence – Wednesday, February 2, 2022 7:00 – 9:00 pm
Strategy – Wednesday, February 16, 2022 7:00 – 9:00 pm
Judgment – Wednesday, March 2, 2022 7:00 – 9:00 pm
Graduation – Wednesday, March 30, 2022 7:00 – 9:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet – Tuesday, November 9, 2021 7:00 – 9:00 pm
Character – Tuesday, November 23, 2021 7:00 – 9:00 pm
Tolerance – Tuesday, December 7, 2021 7:00 – 9:00 pm
Communication – Tuesday, December 21, 2021 7:00 – 9:00 pm
Vision – Tuesday, January 4, 2022 7:00 – 9:00 pm
Empowerment – Tuesday, January 18, 2022 7:00 – 9:00 pm
Persistence – Tuesday, February 1, 2022 7:00 – 9:00 pm
Strategy – Tuesday, February 15, 2022 7:00 – 9:00 pm
Judgment – Tuesday, March 1, 2022 7:00 – 9:00 pm
Graduation – Tuesday, April 5, 2022 7:00 – 9:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet – Tuesday, January 4, 2022 7:00 – 9:00 pm
Character – Tuesday, January 18, 2022 7:00 – 9:00 pm
Tolerance – Tuesday, February 8, 2022 7:00 – 9:00 pm
Communication – Tuesday, February 22, 2022 7:00 – 9:00 pm
Vision – Tuesday, March 8, 2022 7:00 – 9:00 pm
Empowerment – Tuesday, March 29, 2022 7:00 – 9:00 pm
Persistence – Tuesday, April 12, 2022 7:00 – 9:00 pm
Strategy – Tuesday, April 26, 2022 7:00 – 9:00 pm
Judgment – Tuesday, May 10, 2022 7:00 – 9:00 pm
Graduation – Thursday, June 2, 2022 7:00 – 9:00 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet – Tuesday, November 2, 2021 5:30 – 7:30 pm
Character – Tuesday, November 16, 2021 5:30 – 7:30 pm
Tolerance -Tuesday, November 30, 2021 5:30 – 7:30 pm
Communication – Tuesday, December 14, 2021 5:30 – 7:30 pm
Vision – Tuesday, January 11, 2022 5:30 – 7:30 pm
Empowerment – Tuesday, January 25, 2022 5:30 – 7:30 pm
Persistence – Tuesday, February 8, 2022 5:30 – 7:30 pm
Strategy – Tuesday, March 15, 2022 5:30 – 7:30 pm
Judgment – Tuesday, March 29, 2022 5:30 – 7:30 pm
Graduation – Tuesday, April 12, 2022 5:30 – 7:30 pm
Please confirm that you are available on the following days for our program meetings
*
Meet & Greet – Monday, December 13, 2021 6:00 – 8:00 pm
Character – Monday, January 10, 2022 6:00 – 8:00 pm
Tolerance – Monday, January 24, 2022 6:00 – 8:00 pm
Communication – Monday, February 7, 2022 6:00 – 8:00 pm
Vision – Monday, February 28, 2022 6:00 – 8:00 pm
Empowerment – Monday, March 14, 2022 6:00 – 8:00 pm
Persistence – Monday, March 28, 2022 6:00 – 8:00 pm
Strategy – Monday, April 11, 2022 6:00 – 8:00 pm
Judgment – Monday, May 2, 2022 6:00 – 8:00 pm
Graduation – Monday, May 30, 2022 6:00 – 8:00 pm