Leadership Program Map Update Form
Thank you for listing your program on the Leadership Map on Leadership Wisconsin's website. We are excited to offer this tool to organizations and individuals across the state of Wisconsin.

Whether you are hoping to be listed for the first time or you have a few items to update, please insert your complete and up-to-date information for every question below.

Is your program already listed on the Leadership Program Map?
Address
This is where your location pin will appear
Your answer
Program Name
Your answer
Lead Organization
Example: Oshkosh Chamber of Commerce, Green County University of Wisconsin-Extension, etc.
Your answer
Lead Organization Type
Area Served
Please enter the counties or municipalities served by your program, if "Statewide" please indicate
Your answer
Website URL
Your answer
Contact Name (if applicable)
Your answer
Phone Number
Your answer
Email
Your answer
Facebook URL (if applicable)
Your answer
Twitter URL (if applicable)
Your answer
Demographic Served
Issue Focus
Logo
If you would like to include your Program's Logo with your listing, please email a 150 x 150 pixel .jpg file to leadershipwisconsin@ces.uwex.edu.
Thank You!
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Wisconsin Cooperative Extension. Report Abuse - Terms of Service - Additional Terms