UWLC Emerging Leaders Program
2017 Membership Profile
Employer & Title
Zip Code (Home/Work)
In what year were you born? (Emerging Leaders are professionals under 40 years of age)
What topics in the community are you most committed to or passionate about (please check all that apply)
Health (community health resources and initiatives, community partnerships for health)
Education (school readiness, early childhood development and education, local public school issues)
Income (financial stability, basic needs)
Other (please feel free to be specific)
Please identify any leadership opportunities of interest to you (i.e. board/committee membership, volunteerism, United Way Campaign involvement, Emerging Leaders steering committee, etc.
Would you be interested in volunteer activities involving your kids/family?
Are you currently involved in any other community groups? (Nonprofit board member, philanthropic club member, community group member, organization volunteer, etc.)
Anything else you'd like us to know about you?
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