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Home
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Board Leadership Training
Board Leadership Training
Name
First
Middle
Last
Your Contact Information
Company/Organization
Email
Phone
Address
City
State
ZIP Code
Ethnicity
Black
Hispanic or Latino
White
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Do you currently serve on a board?
Yes
No
Which boards do you serve on?
How many years have you served on a board?
Do you hold a leadership position?
Yes
No
Which position(s) do you hold?
Class Registration - $75
Number Attending
Name(s) of Attendees
Pleases include the name(s) of those that will attending the sessions.
Total $
0
Class registration is $75 per person. After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!
Would you prefer to be:
Pay Online
Be Invoiced
Scholarship
Why is participating in Board Leadership Training important to you?
How will you use the information learned to strengthen the organization that you serve and/or the community in which you live or work?
If you do not receive this scholarship, do you have other means to process payment?
Yes
No
Are you interested in a full ($75) or partial ($35) scholarship?
Full
Partial
Either
Please note that a single organization is eligible for a maximum of $75 of scholarship per session.
