List Past and Present business, civic, community and
volunteer activities in which you have participated:
Provide two
references who can discuss your qualifications to participate in
Leadership Evergreen:
Reference 1
Reference 2
Name:
Name:
Phone:--
Phone--
How are you acquainted:
How are you acquainted:
Please identify and
discuss one particular issue, opportunity or problem you feel is important
to the mountain community:
How do you hope
the Leadership Evergreen program will help you fulfill your aspirations as
a leader or volunteer in the mountain community:
Tuition is $550. A few partial scholarships are
available. Please check the box if you need financial assistance to attend
this program.
Participants Agreement:
If accepted as a participant in the Leadership Evergreen program, I agree to
the following:
During the program: attend all sessions ( More than two absences
will delay graduation) and participate in a class project.
Following graduation: seek opportunities to utilize leadership
skills and abilities for the good of the mountain community; sustain and
perpetuate the Leadership Evergreen program.
