2023-Leadership North Broward

All applications are confidential. Please provide sufficient information for us to make a determination of you eligibility based on your skills, professional experience and community involvement. All participants MUST attend a minimum of four(4) program days in order to graduate. (NO EXCEPTION)

Full Name:

Title

First Name *

Last Name *

Suffix

Years in Pompano Beach, Margate, or Lighthouse Point? *

Present Employer *

Date Began: *

Business Mailing Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Type of Business? *

Title/position: *

Briefly describe your responsibilities? *

What do you consider to be your most rewarding career achievement to date?

Affiliations, Awards and Honors

Describe any significant professional, civic, religious, academic and/or social affiliations, awards and honors received:

Organization- position held/ Honors received- Dates

Describe your most significant volunteer commitment?

General

What do you hope to gain from LNB? *

What do you feel are the greatest challenges facing your community today? *

I have approved the submission of this application and the financial commitment required to participate in Leadership North Broward. I further acknowledge and support the time commitment I need to graduate as written in the application. I fully understand attendance is mandatory in order to graduate. *

I agree

Signature *

Tuition: Chamber Members $625,Non- members $875, Non-profit $375. Deadline for all applications is Feb. 10th, 2023