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About You

First Name *

Last Name *

Birthdate *

Professional Information *

Company *

Contact Information

Primary email *

Email Address 2

Telephone *

Telephone 2 *

Preferred Mailing Address *

Preferred Mailing Address

Preferred Mailing Address

Preferred Mailing Address

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Ethnic Background * Pick select your ethnic background American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Hispanic or Latino Other Ethnic Background

Current Industry * Please select your current industry Accounting Advertising, Marketing & Public Relations Architecture, Construction, Interior Design Banking Chamber, Civic or Social Organization Education Engineering Financial Services, Insurance Government Hospital, Healthcare HR Management Consulting Media Publishing Military Nonprofit, Philanthropy Technology Retail Other Current Industry

Education Level * Please select highest level completed High School Diploma Vocational Training or Associates Degree College or University Graduate Masters Degree Doctorate/Professional Degree

Licenses and certifications (please list)

Skills willing to share in nonprofit service (Please check all that apply)

Accounting

Budgeting

Event Planning

Legal advice/services

Personal network connections

Professional legal advice

Project Management

Public Relations

Real Estate license

Social Media

Fundraising

Previous board service

Previous volunteer service

Nonprofit causes you are most passionate about

Addiction & Substance Abuse

Adoption & Foster Care

Adult Literacy

Affordable Housing

Animal Welfare

Arts, Culture & Humanities

Crime & Ethnic Diversity

Childcare & After-School Programs

Domestic Abuse

Early Childhood Education

Elder Care & Senior Centers

Gangs & Youth Violence

Highway Safety

Homelessness

Human Sex Trafficking

Hunger & Food Security

Land Conservation

Land, Air & Water Pollution

Lesbian, Gay, Homosexual & Transgender

Mapping Tennessee

Maternal Mortality

Mental Health & Illness

Nursing Crisis

Offender Reentry

Physical Education & Fitness

Public Health

Public Libraries

Public Transportation

Refugees & Immigrants

Women’s Health

Veterans & PTSD

Workforce Development

How did you find YLC? (check all that apply)

Friend or colleague recommendationFriend or colleague recommendation

Company recommendation

Attended a YLC event and learned about classes

Member of Junior League of Nashville

Member of Williamson Chamber

Graduate of Belmont’s Jack C. Massey College of Business

Google search

Social Media

OtherOther

YLC Class Information

Which class are you applying for? * Select a class Spring Classes Fall Classes

Acceptance and placement into one of the YLC cohorts is based upon various factors. Please check all that apply to you:

Member of the Junior League of Nashville

Graduate of Belmont’s Jack C. Massey College of Business

Live or work in Davidson County

Live, work or willing to do business in Williamson County

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