CONNECTED Networking Group

Chapter Leader Application

Thank you for your interest in becoming a CONNECTED Networking Group Chapter Leader!

Please complete the following application to help us understand your background, vision,

and goals forleading a chapter. We’ll review your responses carefully and follow up

with you to discuss next steps.

Full Name *

Phone *

Email *

City *

State *

What is your primary business? *

How do you feel that becoming a CONNECTED Chapter Leader will benefit your business? *

What experience do you have in networking or community leadership? *

Why do you want to become a CONNECTED Chapter Leader? *

How would you describe your leadership style?(Select all that apply) *

What impact do you hope to make in your local community by leading a CONNECTED chapter? *

Which of the following skills do you feel you bring to this role? *

What do you see as your top strengths as a leader? *

Are you able to commit time each month to organize and lead chapter events, communicate with members, and grow your chapter? *

Yes

Are you open to receiving ongoing training and support from the CONNECTED team? *

Yes

What else would you like us to know about you or your vision for the CONNECTED chapter you would lead? *

How did you hear about this opportunity? *

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