2022 Emerging Leaders Application – Oregon Chamber of Commerce

Name, Address, Cell Phone Number, Email: *

Please tell us why you would like to participate in this program. *

Leadership skills/knowledge I hope to gain by participating in this program include: *

Are you currently employed or affiliated with a local business or organization (Oregon, Mt Morris, Chana?) *

Please name the business or organization and a contact:

I am interested in exploring leadership positions in the following areas: *

Local government (City, Township, County)
Volunteer Boards and Committees of (School, Library, Park District, Chamber, Community Festivals and Events Groups, Museum, etc.)
Civic/Service Organizations (Rotary, Lions, etc.)
Employment Advancement Opportunities
Other (please specify)

Other:

By submitting this application I commit to actively participate in ALL workshops, teleconference, and capstone project activities that are part of this program. *

I agree

Name *

First

Last

Date *