Leadership Registration Application
The Leadership Medford & Jackson County program creates in its class participants, a comprehensive and objective awareness of our community in action. The program fosters commitment to our region and develops leaders to meet the demands of the future. Since its inception in 1983, more than 1000 people have graduated from this distinguished and popular program, many of which are now prominent and influential leaders in the Rogue Valley. Many of the opportunities available to this group are exclusive to the Leadership Program and not open to the general public. This provides the participants with many unique, rare and interesting experiences.
Full Name (First & Last) *
Job Title *
Employer Name *
Employer Address (Street, PO BOX, City, State, Zip) *
Immediate Supervisor *
Email Address *
Work Phone Number *
Cell Phone Number *
Number of Years in the Rogue Valley *
Please specify your size for a Leadership jacket *
Dietary Restrictions
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Payment
$1,200 members | $1,400 non-members
Partial scholarships are available for deserving, small businesses and non-profit organizations.

You may pay by check, credit card or invoice.
Checks should be made payable to: The Chamber of Medford & Jackson County
Mailed to: 101 E 8th St. Medford, OR 97501
Payment Type *
Contact Information
For questions or general inquiries, please contact Lydia Salvey, Leadership Director, by email at lydia@medfordchamber.com or by phone at 971-713-5847
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