2023 Application for Leadership Chatuge Class 6

27Sep
2023 Application for Leadership Chatuge Class 6
Name that you would like on your certificate at completion.
3. Preferred mailing address. *
3. Preferred mailing address.
City
State/Province
Zip/Postal
This is the number you don't mind others calling you on.
Name you preferred to be called by.
Text only - Example: five
7. County where you live. *
8. County where you work. *
12. Company mailing address. *
12. Company mailing address.
City
State/Province
Zip/Postal
20. There are a multitude of ways to invest your new skill set in your community. In what ways might you be interested? Place a check by those of interest. *
22. Tuition: The tuition is $375 (due upon acceptance). Tuition includes meals and other materials. *A limited number of partial tuition scholarships are available. To request a scholarship, the applicant should send a letter of request to jackie@hintoncenter.org that includes why a scholarship is needed no later than February 2, 2020. Tuition is payable 30 days from acceptance into the program. Tuition will be paid by: (mark only one)
I would like to be considered for a partial scholarship