Fellows Intake Form : Fellows Program : Programs & Services : Leadership Cumberland

Leadership Cumberland 2023-2024 Fellows Intake Form

Congratulations on being accepted into our 2023-2024 Class of Fellows! We look forward to meeting you and having you in class. Please take a moment to fill out our intake form below so that we can start to get ready for our first class. If you have any questions or concerns please reach out to our Director, Nicole Deary, at director@leadershipcumberland.org.

Date:

Name:

First Name *

Last Name *

Age:

Pronouns

(e.g. she/her, he/him, they/their, etc.)

Ethnicity

Occupation Industry

What is your unisex t-shirt size?

Please indicate below if you have any accessibility needs or accommodations:

Do you have any food allergies or dietary needs? If so, please list.

What is one FUN Fact about yourself?

What is one BORING fact about yourself?

Is there anything else you'd like to tell us about yourself?

Which orientation will you be attending?

Sept 12 - Carlisle Chamber
Sept 15 - West Shore Chamber
Neither of these dates work for me

Each orientation is in person and from 9 am - 10 am.

Preferred Email:

elfy49aw1v99

Signature:

Fellows Program

Leadership Program

Leadership Cumberland serves the county by developing individuals, of all ages and professions, to become effective leaders in the workplace and community.
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Junior Leadership Cumberland

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Nonprofit Resources

LC was founded over 30 years ago under the premise that the nonprofit community would never run out of leaders willing to serve. Learn How We Engage The Nonprofit Community.