Application
Apply to join the Leadership Uvalde program. Please complete all sections. Incomplete applications will not be considered.
Personal Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer / Business Name
*
Position or Title
*
Preferred Shirt Size
*
Are you an active Individual Member of the Uvalde Chamber of Commerce, or an employee/owner of an active Chamber Member Business?
*
Yes
No
Do you have the full support of your organization or business to participate in this program?
*
Yes
No
Please describe your motivation to serve the Uvalde community and your leadership experience.
*
Do you have any physical limitations or concerns about your ability to participate in full-day sessions with some physical exertion?
*
No, I do not have physical limitations.
Yes, I have limitations and will contact the office.
Do you have any special dietary restrictions or allergies?
*
Emergency Contact Information
Emergency Contact Full Name
*
First Name
Last Name
Emergency Contact Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
Acknowledgment of Requirements
I understand that tuition of $500 is due by Orientation Day and that no refunds will be issued after the first Education Day.
*
I acknowledge and agree
I commit to attending Orientation Day, at least 6 of 8 Education Days, Chamber Ribbon Cuttings & Grand Openings, and volunteering at the required events.
*
I commit to these requirements
I understand that if my employment changes, my new employer must be or become a Chamber Member for me to continue participation.
*
I understand
Signature (please type your full name as your digital signature)
*
Submit Application
Submit Application
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