Leadership Richmond Application

Leadership Richmond aims to mold business and industry professionals into strong local leaders. Participants will gain confidence, knowledge, professionalism and strong leadership skills they can bring back to their place of employment. The program is a way to make connections and build strong business relationships.

Name *

First

Last

Business Name (Where do you work?) *

Title/Position *

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Email *

Best Contact Phone *

Birthday - We want to celebrate you!

Please list your community involvement and activities. Include the name of the organization, the dates you were involved with the organizations, positions held, responsibilities and accomplishments.

How do you define leadership?

Profile Picture - If selected to serve, this will be used on the Richmond County Chamber website and social media forums.

Click or drag a file to this area to upload.

Statement of Commitment *

To graduate from Leadership Richmond participants are expected to attend all classes.
These days are rigorous and planned to inform participants as much as possible. This requires total participation by classmates with no distractions. If you have responsibilities that may keep you from this commitment, this program may not be a good fit for you.
Your employer must support your application and understand your time commitment away from work during program days.

Leadership Richmond is a fun, exciting and hands-on program, but for everyone’s benefit and enjoyment, please read the conditions above, check the box next to each condition with your acknowledgement that you have read and understand.