2023-2024 Leadership Knox County Application
Thank you for your interest in the Leadership Knox County class for 2023-24! Please fill out the application below and submit it by August 7, 2023 to be considered for this year's class. The program fee is $500.

Contact Jamie Neal at jamie@knoxcountychamber.com or (812) 882-6440 for more information.

Please complete the following questions to help us understand your interest and experiences in leadership development.
Email *
2023 - 2024 SESSION DATES:        
September 7, 2023                                                                                              
October 13, 2023                                                                                           
November 9, 2023                                                                                          
January 11, 2024                                                                                            
February 8, 2024                                                                                              
March 14, 2024                                                                                                          
April 11, 2024                                                                                                              
May 9, 2024 – Graduation                                                                                    

***In order to receive a Purdue Extension Certificate of Completion, I understand that I can miss no more than 1 session. (full days may include 2 sessions.)                                                                          

 
Name *
Address *
Phone *
Do you require any auxiliary aids due to a disability? If yes, please explain.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy