Development Program Application 2021-2022

Applicant Information

Employer Information

For All Questions, limit your response to up to 250 Words.

WHO IS ELIGIBLE TO APPLY? To be eligible, candidates must be between the ages of 18-30
years of age and must work and/or live in Orange County, New York.

PLEASE NOTE THE FOLLOWING: TIME COMMITMENT In order to accomplish Leadership
Orange’s YP Development objectives, full participation of each individual is essential. This
program will require your attendance at six (6) sessions 4hr sessions and six (6) 1hr virtual sessions. By signing, you indicate that you are fully aware of the time commitment that will be required as a participant in the Leadership Orange YP Development program and will abide by those requirements and fully participate in the program to the best of your abilities. Tuition and Sponsorships are nonrefundable and nontransferable.

FINANCIAL COMMITMENT Leadership Orange YP Development participation is limited to
employer sponsored participants and/or individual participants. Fees are due within 30 days of confirmation. By signing, you indicate that you understand and agree to adhere to the
required financial commitment for Leadership Orange.

TUITION If accepted into the YP Development Class 2021, you and/or your employer will be
invoiced for a tuition fee of $650.00 (plus a $20 non-refundable processing fee). In order to
hold your seat in the class, you and/or your employer must submit payment no later than July 31, 2020.

SCHOLARSHIPS: There are a limited number of need-based scholarships. Scholarships will be
awarded once a candidate has been accepted into the program.

I understand the goals and commitment of the Leadership Orange YP Development Program and the attendance requirements. If selected, I will fulfill all obligations outlined in this application and will see to payment of my tuition upon acceptance. I acknowledge that I have completed the application and that all the information contained herein is true and correct. I hereby give Leadership Orange the right to make inquiries regarding the information provided on this application form.