Executive Leadership Northeast 2023 Application

Executive Leadership Northeast

Class of 2023 Application
WHAT WE DO

Executive Leadership Northeast (ELNE) began in 1985 as a community orientation program for key executives and their partners who have recently moved into NEPA or into an executive position, and would like to get re-acquainted with the NEPA community.

HOW WE DO IT

ELNE is held at varying locations throughout NEPA in order to introduce the variety of recreational options available in our region. Sessions include entertaining and informative presentations on topics such as local history, recreation, economic development, volunteer opportunities, and more.

WHY WE DO IT
- To integrate relocated executives and professionals into the community and challenge them to become involved in regional activities
- To provide the opportunity to interact with key local decision-makers and business leaders and learn about area history, government, business environment, educational institutions, and cultural offerings
- To provide networking opportunities for all participants with other executive-level professionals
2023 PROGRAM DETAILS

Six dinner sessions will be held on Wednesday evenings from 5 p.m. to 8 p.m. on March 1st, 8th, 15th, 22nd, 29th, and Tuesday, April 4th at varying locations throughout NEPA.

Cocktails and a gourmet dinner are provided at each program. Cost is $1,800 with partners included at no additional charge.

Application deadline: February 10, 2023

Applicants will be notified of their acceptance into the program within one week of submitting their application.

Class of 2023 Application
Name*

First Name Last Name
To which gender identity do you most identify?
Business Name*
Title/Position*
Business Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Number of years in Northeastern Pennsylvania
Number of years in present employment
Home Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.
Business Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are there any topics that you would like to consider speaking to the class about?
Will your partner also attend this program?*

YesNo
Partner Name

First Name Last Name
Partner Phone Number
Please enter a valid phone number.
Partner Email
example@example.com
Please indicate if you or your partner have any dietary restrictions.*
Have you been convicted of, pleaded guilty to, or have pending charges regarding a criminal (felony or misdemeanor) offense?*

YesNo
If yes, please explain.
Signature

Clear
Date

MonthDay Year
Date
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Executive Leadership Northeast

Class of 2023 Application