Northeast KC Chamber of Commerce Civic Leadership Class Click here to view the curriculumApplicant InfoPlease enter your contact information as it pertains to the applicant registering for the class.Applicant Name*Please enter your name for the class registration First Last Suffix Employer*If applicable please enter your employer Contact Address*Please enter a contact address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home/Cell Phone*Please enter your home or cell contact phone numberWork PhonePlease enter your work phone numberContact Email*Please enter your contact email address Enter Email Confirm Email Civic ActivitiesBriefly list your neighborhood, community and civic activitiesActivitiesBriefly list your neighborhood, community and civic activitiesAll participants are expected to attend all 10 sessions of the program. If missing a session is unavoidable, participant is expected to work with the program coordinator to catch up with the class on the material presented at the missed session. I agree: (Please initial)*This class is being underwritten by Historic Northeast Events and the Northeast Kansas City Chamber of Commerce Δ CURRICULUM / SCHEDULE 2016 CIVIC LEADERSHIP PROGRAM – MU EXTENSION All Sessions begin at 6-7:30 P.M. at North-East Public Library, 6000 Wilson Ave , unless otherwise noted. [table id=2 /]
