Impact SWFL Application - Class of 2020
RequiredRequired Question(s)
Thank you for your interest in joining the Impact SWFL Class of 2020! We are excited for your interest in this professional development program for emerging leaders in Southwest Florida.

Please complete this application by January 15, 2020 for consideration. All applicants will be notified by January 24.
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Company Name:
Work Phone:
Home Phone:
Email Address:
Birthday (Month/Day):

Required 2.

Why are you applying for the Impact SWFL Class of 2020, and what would you like to gain from this experience?


1000 characters left.
Required 3.

Please list the community organizations you're currently involved with and any organizations you'd like to learn more about.


1000 characters left.
Required 4.

What are your long-term career goals?


1000 characters left.

Limited scholarships are available for this program. If you'd like to be considered for a scholarship, please explain why in the box below.


1000 characters left.
Required 6.

We look forward to reviewing your application for Impact SWFL. This is a cumulative program where each session builds on the previous one, so please check your calendar now to ensure you can attend these program dates from 2 to 5 p.m.:

1. February 27

2. March 26

3. April 30

4. May 28

5. June 25

Tuition for Impact SWFL is $750, and must be paid in full by February 14, 2020.

I have read the guidelines
Questions - please call the Chamber at (239) 992-2943