Leadership Collinsville Application
Background Questions
Full Name
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Phone Number
Your answer
Email Address
Your answer
Present Employer
Your answer
Current Position at Present Employer
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Length of residence and/or employment in Collinsville
Your answer
Summarize your education background. Be sure to include occupational/vocational training, degrees, schools attended, certificates, training, and skills.
Your answer
Please explain why you wish to participate in Leadership Collinsville.
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What do you hope to gain by participating in Leadership Collinsville?
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In your opinion, what is the most significant challenge facing Collinsville? What steps would you suggest to address this issue?
Your answer
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