Emerging Leaders Annual Member Registration

How to Become an Emerging Leader

(Measured on an annual basis beginning January 1)

Live or work in Washington County
Community engagement (at a minimum, participate in one of the following:)
- Volunteer within the community (i.e. with the United Way, as an Emerging Leader, as a coach, with a church or other nonprofit, etc.)
- Serve on the Emerging Leaders board
Support the United Way annual campaign (for example:)
- Volunteer at the campaign kick-off
- Contribute a financial amount to the campaign
Participation in Emerging Leader events
- Attend a minimum of 2 events hosted or promoted by Emerging Leaders
Membership fee
- Annual fee of $20
- As a member, you will be able to attend all events (except the golf outing) for free

I pledge to complete these criteria annually.

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 in Emerging Leaders?

Volunteering/Community Development

Professional Development

Events & Planning

United Way Campaign Fundraising

Networking with Emerging Leaders

(select all that apply)

Payment

How are you paying the $20 annual membership fee?

Check

Credit Card