Emerging Leaders ALUMNI Annual Member Registration

HOW TO BECOME AN EMERGING LEADER ALUMNI

Be a Past Emerging Leader (three years of consecutive Emerging Leader membership immediately preceding alumni status)
Live or work in Washington County
Support the United Way annual campaign (volunteering at the campaign kick-off or financially contributing)
Pay membership fee (measured on an annual basis beginning January 1)
- Annual fee of $20 ($21 with processing fee if paying online)
- As a member, you will be able to attend all events for free (except the golf outing)

Member Information

First Name

Last Name

Phone

Type

Street Address

City

State

Postal Code

Age Range

Current Employer

Job Title

Agency/Non-Profit Affiliation

(if applicable)

Role with Agency/Non-Profit

(if applicable)

Area of Interest

How would you like to be involved as an Alumni in Emerging Leaders?

Speaker

Roundtable Participant

(select all that apply)

Payment

How are you paying the $20 annual membership fee?

Check

Credit Card