Leadership Chatuge Class 3 Application

Application for Leadership Chatuge Class 3

Leadership Chatuge is for leaders and emerging leaders in Clay, Cherokee, and Towns Counties. This 12 week class held on Tuesday evenings from March 2nd – May 18th 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 3. Cost is $375 which covers meals and supplies. Partial scholarships are available. Please complete form and submit by February 15th, 2020 to Jacqueline Gottlieb – jackie@hintoncenter.org. Seats in class are limited and notifications of acceptance will be made shortly after receiving applications.

Application for Leadership Chatuge Class 3
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)
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