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? * Please share your plans for long term engagement in Winter Park. * Email Address * Phone * Address Block - US Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code TUITION INFORMATION Tuition for Leadership Winter Park - $2,850 (Chamber Member Rate) Subtract amount to be paid by your organization. * 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.
