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Thank you for your participation in the Leading for Community Impact application process!

For the candidate’s application to be complete, the following form must be received by 8:00 pm on December 12, 2022.

*Please note by submitting this form as the Board Chair, Executive Director or Supervising Manager you acknowledge your full support of the applicant to fulfill the stated program commitments, which includes attending all 10 sessions and submitting payment of the program fee.

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