Dalton-Whitfield Chamber of Commerce
890 College Drive
Dalton, GA 30720

Phone 706-278-7373 - Fax 706-226-8739
email info@daltonchamber.org

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Leadership Dalton-Whitfield Application
Click here for a PDF Leadership Application

Anyone interested in participating in a future Leadership Dalton-Whitfield class, should complete and submit the application form below.  Each year, the Leadership Dalton-Whitfield Advisory Council selects approximately 35 to 40 individuals that represent the occupational and demographic diversity in the community.

Application Form:

 Today's Date:  
 Date of Birth:  
 Name (and nickname):  
 Home Address (include street, city, state & zip)  
 Home Phone:  
 Spouse's Name:  
 Where do you currently reside? (indicate location & number of years):  Location:
# of Years: 
 Whitfield County (check one) inside city  outside city  Other: 
 Education:  
 Employer:  
 Category (check one)  
 Bank/Financial  Non-Carpet Big Business
 Carpet/Carpet
     Related		  Non-Carpet Small Business
 Clergy  Not-for-profit
 Education  Professional
 Government  Utility
 Healthcare  Volunteer
 Business Address (include street, post office box, city, state & zip)  
 Business Phone:  
 Business Fax:  
 Business Email:  
 Job Function/Title:  
 Civic, professional
or volunteer activities:		  
 How would you use your leadership training to benefit the community?  

Thank you for submitting an application to be considered for the Leadership Dalton-Whitfield program.  The Leadership Advisory Council selects each class during the Spring and will notify those individuals that have been selected to participate.

 

 

 
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