Emerging Leaders Organization Interest Form
This is the interest form to become a member of the Emerging Leaders Organization. We appreciate your interest!

The Emerging Leaders council will reach out to you shortly after you submit your application.
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Email *
Full Name *
Phone Number (please include area code)
Age *
Are you a business owner?  *
What is your current role and industry or what role and industry do you aspire to be in? *
What are some of your career or entrepreneurial goals?
Do you have any special skills or experience you'd like to contribute to the group?
What are some problems you are facing in your career journey?
What would you like to get out of being an Emerging Leaders member?
 *
How did you hear about the committee?
 *
Please be advised that photographs and video will be taken during CSDBCC events and meeting. By attending, you consent to the use of your image in promotional materials, including but not limited to marketing materials and social media posts.
 *
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