Leadership Borger 2026-2027

Application Form

Name:___________________________________________________________________________________________

Company Name: ________________________________________________________________________________

Address: _________________________________________________________________________________________

City/State/Zip: ___________________________________________________________________________________

Telephone Numbers (Office/Cell): _________________________________________________________________

Email Adress: ____________________________________________________________________________________

Employee Position/Title: __________________________________________________________________________

Leadership Borger offers a comprehensive learning journey, and by joining, I acknowledge and commit to the following: Monthly sessions are scheduled on Wednesdays from September to March, with two sessions in March.

- Monthly sessions are scheduled on Wednesdays from September to March, with two sessions in March.

- I will endeavor to attend each session diligently.

- Graduation necessitates attendance at six full sessions.

- Tuition stands at $500.00 for Chamber member employees and $550.00 for non-Chamber members unless a scholarship is granted.

- Payment arrangements or complete payment of tuition must be settled before the first session.

Additionally, my employer pledges their full support for my participation, affirming that this commitment is endorsed by our organization.

Signature_________________________________________________________________________________________

LEADERSHIP BORGER JACKET ORDER

(PLEASE NOTE THAT JACKETS SIZES RUN SMALL)

CIRCLE ONE:

MEN’S SIZE: SM  MED  LG XLG  XXLG XXXLG XXXXLG                                   

WOMEN’S SIZE: SM  MED  LG XLG  XXLG XXXLG XXXXLG