Name *
Title
Organization Name *
Phone
Email Address
Tuition for the Leadership Arlington's Young Professionals Program is $1,750. Payment will be due on September 1, 2012 unless other arragements have been made with Liz Nohra, COO, lnohra@leadershiparlington.org.
My organization WILL be paying the tuition of $1,750 for this applicant, should s/he be accepted.
My organization WILL NOT be paying the tuition of $1,750 for this applicant; upon acceptance, the applicant will be responsible for his own tuition.
My organization and the applicant will be SPLITTING the cost of tuition.
My organization will be responsible for $
The applicant will be responsible for $
STATEMENT OF SUPPORT:
As the applicant’s work supervisor, I certify that this candidate has my full support to participate in Leadership Arlington. I am aware of the time commitment necessary and the financial obligation. I recommend this candidate.
Applicant's Name *
Please describe why you support this candidate. (500 characters max) *
Date ... *
Please type the letters and numbers as you see them (case sensitive):
