Legacy Leadership Application Form

Your Name
Your Email
Your Phone Number
Street Address
City
State
Zip Code
Home Chapter
How many years have you been with Polka Dot Powerhouse?
Please check the positions you have held with Polka Dot Powerhouse (check all that apply)
What is your most current role with Polka Dot Powerhouse? (Please list all that apply)

Areas of Interest...

  • Development (Member Recruitment, MD Recruitment, Sales)
  • Events (Planning, Budgeting, On-Site, Corporate Sponsor)
  • Communications (Internal Marketing, Publicity, Social Media, Website Development)
  • Programs (Training, Leadership Training, Diamond Division, Member Services, Dot Store)

Out of the areas listed above, which interests you the most for your future involvement in Polka Dot Powerhouse?
Which area would you say you are "second most" interested in?
What are your Top 5 Strengths according to your Strengths Finder Test?
What is your ideal position with Polka Dot Powerhouse based on your current career and educational experiences? (Please be specific in 300 words or less)
When you think of Polka Dot Powerhouse FIVE years from now, what do you envision?
Please Attach Your Current Resume
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Personal Statement (Please write a personal statement telling us about who you are and why you would like to be a part of Legacy Leadership with Polka Dot Powerhouse. 1,000 words or less)