Katherine Harvey Fellows Alumni Profile Update

Leading From Within is excited to cultivate the Katherine Harvey Fellows network so that each of us can continue to ignite energy around solutions to community challenges. To better share who is in the network, your preferred contact, professional, and community information will be shared with the KHF alumni network with the goal of promoting connection, resource sharing, and collaboration.

Name*
First Last
Cohort
Email (work)
Email (personal)
Preferred Email
Phone (Work)
Phone (Home)
Phone (Cell)
Preferred Phone
Employer / Organization
Professional/Job Title
Work Address
Street Address Address Line 2 City State ZIP Code
Home Address
Street Address Address Line 2 City State ZIP Code
Preferred Address
Date of Birth (year is optional)
Current Community and Civic Involvement 1

Role / Organization
Current Community and Civic Involvement 2

Role / Organization
Current Community and Civic Involvement 3

Role / Organization
Current Community and Civic Involvement 4

Role / Organization
Sector Interest 1
Please select your top social sector interest.
Sector Interest 2
Please select your second choice social sector interest.
Please list any ways the KHF network could help you to advance solutions to community challenges:
Please list any additional information you would like to include: