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*Full name
*Preferred name (first and last) for nametags:
Home address:
*Street address
Street Address (apt. or suite #)
*City
*State
*Zip code
Additional Contact Information:
Home phone
Cell phone
Work phone
*Email address
Occupation, League and education information:
*Occupation/Title
*Employer
*My employer is a community partner agency of the Junior League of Raleigh
Work address
*Current member of (select one) Select … Junior League of Raleigh Another Junior League Not a Junior League member
If you are a member of another Junior League, please tell us which League
If you are a League member, please indicate your status (Active/Sustainer) and number of years in the League:
*Highest Level of Education Completed
Undergraduate College and degree(s) (if applicable)
Graduate School & degree (if applicable)
Essays (each answer field has unlimited text):
*What do you hope to gain from a leadership program?
*How do you define leadership?
*What is your greatest strength as a leader? What area are you most in need of refining?
*Please provide a list of your community involvement & interests:
*Please describe your past leadership experience and future aspirations in work, community, school or other environments:
*Please list any leadership training you may have had. Please include any other relevant professional, volunteer or other leadership training you may have had:
