Leadership Venango Application - Class of 2022

Applications are due by August 6, 2021.

Acceptance notification will occur on or before September 3, 2021.
Participant Contact Information
Business Address
Home Address
Years Living or Working in Venango County *
Education Background
Account for all periods, including military duty.
Your highest achievements, responsibilities, or skills to date
Please list, in order of importance, up to four community, civic, professional, business, religious, social, athletic, and other organizations of which you are or have been a member. Please include: Organization Name • Position Held • Dates
Candidate and Sponsor/Employer Agreement
I agree to the participant requirements of Leadership Venango, including attendance at all sessions and participation.
We will contact your employer to confirm approval for your participation in the class and the financial commitment.