2018 Leadership Scholarship Application
RequiredRequired Question(s)
Please complete this application to be considered for scholarship funds. Application must be completed to make consideration.

Limited partial scholarship is available. Individual scholarship allotment will cap at $625. It is not guaranteed applicants will receive this amount. Scholarship is based on applicant need and funds available.

Thanks,
Nick
Director of Member Programs & Engagement
Chapel Hill-Carrboro Chamber of Commerce
 
Required 1.
Please provide the following contact information.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com

Required 2.
What background, personal experience or unique perspective will you bring to this year's Leadership class, and to the program as a whole?
 

1000 characters left.
Required 3.
 Please tell us why participation in Leadership Chapel Hill-Carrboro is valuable to you and your organization:
 

1000 characters left.
Required 4.
If you do not receive scholarship support, will you still participate in Leadership Chapel Hill-Carrboro?
Yes
No
Required 5.
If you receive a scholarship, are you committed to participating in the Leadership Chapel Hill-Carrboro program?
Yes
No
Required 6.
Please let us know how much scholarship support you are requesting. A dollar amount is preferred.
 

50 characters left.