Leadership Greater Augusta
Participant Recommendation Form
has applied to the Leadership Greater Augusta (LGA) Program that will begin in September 2009. Please take a few moments to provide the information requested below and return it by August 7, 2009 in the envelope provided. This confidential information will be shared ONLY with the LGA selection committee. Thank you!
Person making recommendation:
Position title:
Organization: Daytime Phone:
Please complete the information below and return form by August 7, 2009.
I have known this individual
personally
professionally for:
less than 1 year
2-4 years
5-10 years
longer than 10 years
|
|
Other (please specify)
Please use back of page for additional information/comments.
Signature Date
FAILURE TO RETURN THIS FORM BY August 7, 2009
WILL DISMISS THE APPLICANT FROM CONSIDERATION.
Leadership Greater Augusta, P. O. Box 1107, Fishersville, VA22939
540/342-1133, 540/949-8203
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