ࡱ> AC@ bjbj ."rr 44444HHHH$lHN$yyy#######$&)#4yy#44$ 44##r!I#G1"#$0N$":*v:*I#I#:*4]#\y>,$yyy##>vyyyN$:*yyyyyyyyy : Greater Raleigh Chamber of Commerce Leadership Raleigh (Please type responses) Leadership Raleigh Program Project Application Form Nonprofit Organization: _________________________________________________ Mailing Address: _________________________________________________ _________________________________________________ City-State-ZIP: _________________________________________________ Primary Contact (Staff Liaison*) _________________________________________________ Phone: _________________________________________________ E-mail: _________________________________________________ *This person will be the primary staff member who will help to answer any questions or help to provide organizational support to the Leadership Raleigh team. Secondary Contact: __________________________________________________ Phone: __________________________________________________ E-mail: __________________________________________________ Board Member Contact: __________________________________________________ Phone: __________________________________________________ E-mail: __________________________________________________ Years in Local Operation: __________________________________________________ Please type detailed answers to the following questions in a new document. Mission of the organization: Description of the project What goals or objectives would completion of this project meet for your organization? Is funding needed for the project? If so, is funding secured? Beyond the described project, are there additional opportunities to deepen the experience and connection to your organization? If yes, please list those items for consideration. What questions would you anticipate receiving about your organization and this project during an initial meeting with a Leadership Raleigh team? Are you familiar with the Leadership Raleigh program? If not, what questions do you have about the program and/or this opportunity? Please list any expectations you have in working with a Leadership Raleigh group: Estimated length of project (please note that the project should be one that can be completed by May 2015): Commitment Statement for Leadership Raleigh Project The completion and submittal of this project application represents the organization's commitment to be accessible and support the team from Leadership Raleigh. We agree to be available throughout the project timeframe to provide necessary resources to the Leadership Raleigh team in order to assist them in their efforts to complete this project. Commitment of Organization Executive: ____________________________________________ Position: _______________________________________________________________________ Greater Raleigh Chamber of Commerce, PO Box 2978, Raleigh, NC 27602; fax to: 919.664.7097 or return via e-mail to  HYPERLINK "mailto:gmcnamara@raleighchamber.org" gmcnamara@raleighchamber.org $%9PQ   " N O ] ` c & ' ( ) * / 3 A d e f g   µۉ~shn]06CJOJQJh+6CJOJQJhhn]06CJOJQJh+CJOJQJh3`CJOJQJhn]0CJOJQJhVxhn]0CJOJQJhVxh5CJOJQJh5CJOJQJhn]05CJOJQJhVxhn]05CJOJQJh5CJOJQJ-%9QR O ( e f   N  T d^gd d^gdn]0$d^a$gdn]0    0 N U   ! * T U V W _ j  - . 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