My Friend's Place - Emerging Leaders Council Application
Please complete this application form if you are interested in becoming a member of the Emerging Leaders Council. Once you submit the form, please copy and paste the link provided on the following confirmation page to make your secure $10 monthly membership payment.
Contact Information
First Name:
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Last Name:
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Title:
Street Address:
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Street Address 2:
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City:
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State:
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Zip:
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Phone #:
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Email:
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Background Information
Date of Birth
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Employer
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Profession/Field
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Skills
Please describe the skills you feel could be valuable as a member of a young professionals group.
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Briefly describe any relevant volunteer and/or leadership experience you've had with other nonprofit organizations or professional groups.
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Interests & Goals
Why are you interested in being a member of the ELC and what do you hope to gain from the experience?
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Area of Interest
Please indicate your interest in any of the following subcommittees!
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Misc.
Is there anything else you would like to share with the ELC Executive Committee?
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How did you hear about the ELC?
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Active on social media? Feel free to share your Twitter/Insta/LinkedIn below!
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