L'Evate Application for the Class of 2024
L’Evate is a community-based organization that provides participants with insight into how our community functions, its cultural and organizational differences, and an opportunity to meet and network with other community leaders. Class days include leadership skills, teamwork, and group development training. Topics that impact the community such as wellness, diversity, criminal justice, business development, government, education, sports, and the arts are the focus of the monthly program days. You will experience opportunities that will enrich your life. Leadership is a vital component in the success and economic future of our communities.

Applicant Information

Applicant Information

Name

Date completing application

Years in Donelson, Hermitage, Old Hickory or Adjacent area:

Business Information/Employment

Business Information/Employment

Business Name

Business Address

Business Address (City, State, Zip)

Business Phone Number

Cell Phone Number

Business E-mail

Title/Responsabliities

Briefly describe your position with particular attention to leadership, responsibilities, number of people under your supervision, budget under your control, etc.

Briefly describe your position with particular attention to leadership, responsibilities, number of people under your supervision, budget under your control, etc.

What do you consider your highest responsibility, skill, or career achievement so far?

What do you consider your highest responsibility, skill, or career achievement so far?

Your Information

Your Information

Perferred E-mail

Preferred Phone

Home Address

Birthday (please only list day and month)

One fun fact about you:

One fun fact about you:

What are your hobbies and recreational activities:

What are your hobbies and recreational activities:

How have you grown professionally or personally through the influence of someone who may have served as a mentor to you (either formally or informally)?

How have you grown professionally or personally through the influence of someone who may have served as a mentor to you (either formally or informally)?

Employee History (last 5 years)

Employee History (last 5 years)

Employer | Position | Service Dates

Employer | Position | Service Dates

Employer | Position | Service Dates

Employer | Position | Service Dates

Organizations and Activities Please list community, civic, professional, religious, athletic, social, and other organizations of which you have been a volunteer, member, board member or served in any leadership capacity.

Organizations and Activities
Please list community, civic, professional, religious, athletic, social, and other organizations of which you have been a volunteer, member, board member or served in any leadership capacity.

Organization | Dates | Position

Organization | Dates | Position

Organization | Dates | Position

Organization | Dates | Position

Organization | Dates | Position

Organization | Dates | Position

Please describe your accomplishments and activities in these organization that you think are important:

Please describe your accomplishments and activities in these organization that you think are important:

General How did you hear about L'Evate and/or who referred you?

General
How did you hear about L'Evate and/or who referred you?  

What do you hope to gain from your L'Evate experience?

What do you hope to gain from your L'Evate experience?

Scholarships Scholarships applications are available through the L'Evate website www.levate.org.  Scholarships are available for no more than 50% of the tuition fee.  Please indicate if you would like to apply for a tuition scholarship.

Scholarships
Scholarships applications are available through the L'Evate website www.levate.org.  Scholarships are available for no more than 50% of the tuition fee.  Please indicate if you would like to apply for a tuition scholarship.

1. Yes- I would like to apply for tuition scholorship.
2. No - I would not like to apply for a tuition scholarship.

By submitting this application you are agreeing to the following:
 
Tuition:  If accepted into L’Evate, you or your company will be invoiced for the tuition fee of $1000.00. This covers all costs, including meals training and the retreat.   
  
Post-Graduation Expectations:  As an alumnus of L’Evate, you will be expected to have a future ongoing commitment to the growth and continuity of the program and the community.  This includes working on a committee as a team member for L’Evate and paying annual dues of $90.
 
Attendance:  I understand that it is mandatory to attend Orientation and Retreat in their entirety.  I also understand that I may miss no more than 10 hours during the 8 program days.
 
Commitment:  I understand that participation in the L’Evate program requires a substantial time commitment.  I have made arrangements to ensure that my participation will not be a conflict with my employment.