Participant Application
Sessions: All sessions are 8:30AM - 2:00PM. The dates are 9/15/21, 9/22/21 (Leadercast), 10/13/21, 11/10/21, 12/8/21, 1/12/22, and 2/9/22. Lunch will be provided. Graduation will be 3/9/22.

Please complete the form below to participate in the Leadership Haralson Academy.

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Name *
Email *
Cell Phone Number
Employer (if applicable)
How did you hear about the Leadership Haralson Academy? *
1 分
How do you view yourself as a leader? *
1 分
List your strongest leadership characteristics. How can you benefit from further leadership training?
What are the three most pressing issues facing Haralson County and why?
Describe how you plan to apply your enhanced skills and knowledge to benefit Haralson County?
Application Agreement
I have cleared my calendar on the appropriate dates. I understand that the Orientation is mandatory and that I am expected to attend all sessions.  You must attend 5 out of 6 sessions to graduate from Leadership Haralson.   I also understand that the program tuition is due prior to the Orientation Session.

Tuition for Leadership Haralson is $200.00 for Chamber Members & $300 for Non-Chamber members. Email elangley@haralson.org for more details.


I agree to the following terms listed above. *
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