Adult Leadership Obion County Application
Application Deadline -  August 1, 2022

Session Dates:
Meet & Greet - Thursday, September 1 @ 5:15
UTM Team Building - Wednesday, September 14, 2022
Public Service Day - Wednesday, October 19, 2022
Agriculture Day - Wednesday, November 9, 2022
Medical Day - Wednesday, January 11, 2023
Education Day - Wednesday, February 8, 2023
Economic & Community Development Day - Wednesday, March 8, 2023
Legislative Day - March 2023
Law Enforcement - Friday, April 21, 2023
Arts & Entertainment Day - Wednesday, May 10, 2023
Graduation Ceremony - Thursday, May 18, 2023 (Evening)


Graduation Requirements:
$500 sponsorship due before the first session (non-refundable)
Attendance of eight of the ten sessions
Completion of one hour of volunteer service
Completion of two of the following:
     - One hour in court (law enforcement session meets this requirement)
     - One hour at one of the following meetings; city council, county commission, school board, other community
       organization meeting
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Email *
Name *
Spouse's Name
Your age *
Gender
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Home Mailing Address (street, city, state, zip)
Home Phone
Cell Phone *
Work Phone *
Email Address *
Employer Information
Company *
Mailing Address (street, city, state, zip) *
Job Title/Description *
How long have you lived/worked in Obion County? *
Level of Educational Background *
Sponsors Information (if an individual, list sponsor's name & information)
Sponsor Name or Company *
Mailing address (street, city, state, zip) *
Phone *
Please list in order of importance to you current or previous memberships in community, civic, professional, business, religious, social, athletic, and other organizations *
Please describe what you would like to gain from Leadership Obion County. Include any specific topics you would like to see addressed. *
In your opinion, what are the three most important issues facing Obion County today? *
How did you hear about Adult Leadership Obion County? *
Please initial below to agree to terms and conditions: If I become a participant in Leadership Obion County, I agree to abide with the graduation course requirements as stated in the accompanying program schedule. I understand the tuition cost of $500 is due before the first session and is non-refundable. I grant to Leadership Obion County the right to take photographs of me and my property. I authorize Leadership Obion County to copyright, use and publish the same in print and electronically. I agree that leadership Obion County may use such photographs of me with or without my name for such purposes as publicity, advertising, and web content. *
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