Personal Information
First Name
Middle Name
Last Name
Full Preferred Name
Organization
Do you work for a Non-Profit? YesNo
Job Title
Contact Information
Business:
Address
City
State
Zip Code
Email
Business Phone
Home:
Preferred Email
Cell Phone
Education
School Degree Major Year
Leadership Experience
Current or Prior Leadership Experience and Community Activities
Commitment
Why are you interested in participating in the LEADERSHIP Core program and how will you benefit?
Is there any non-profit board you would like to serve on? If so, tell us below.
The dates for the Core Class of 2025 are:
September 5 & 6th, 2024 October 10, 2024 November 7, 2024 December 5, 2024 January 9, 2025 February 6, 2025 March 6, 2025 April 3, 2025 May 8, 2025 June 5, 2025
Please confirm that you are able to attend every session: YesNo
If you answered no to the question above, please list the date(s) for which you have a known conflict and the nature of the conflict:
The $500 application fee is non-refundable and will be paid today by: Website Donation ButtonMail check Pay Now
Note: The remaining tuition balance of $8,300 ($8,800 tuition less $500 deposit) is due no later than August 9, 2024.
Sponsor Information
Sponsor's Full Name
Sponsor's Email
Your Resume
Upload your resume (pdf, doc, or docx) here:
