Leadership Chatuge Class 5 Application

Application for Leadership Chatuge Class 5

Leadership Chatuge is for leaders and emerging leaders in Clay, Cherokee, and Towns Counties. This 12 week class held on Thursday evenings from February 10th – April 28th, 2022 from 4:15 PM to 7:30 PM at the Hinton Center is a great opportunity to learn, network, and develop your own leadership skills.

Application for participation in Leadership Chatuge Class 5 can be submitted online by using the form below. Cost is $375 which covers meals and supplies. Partial scholarships are available. Please complete form and submit by January 22nd, 2022. A downloadable form is available by clicking PDF participant application-fillable  and should be submitted to Jacqueline Gottlieb – jackie@hintoncenter.org.  Seats in class are limited and notifications of acceptance will be made shortly after receiving applications.

2022 Application for Leadership Chatuge Class 5
Name that you would like on your certificate at completion.
3. Preferred mailing address. *
3. Preferred mailing address.
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.
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