Cobb Chamber of Commerce

Member Services

Nomination Form

Leadership Cobb Class
of 2014-2015 Nominations


 

Please note that the Leadership Cobb program year requires a significant dedication of time and energy. We ask that you contact your nominee(s) to discuss the benefits of the program as well as the commitment involved. Each nominee will receive an email with application instructions once the nomination period has closed. You may nominate yourself.


DEADLINE FOR NOMINATIONS:
Friday, February 14, 2014


*indicated required

NOMINEE'S INFORMATION:
Prefix
First Name*
Middle Name
Last Name*
Name Called*
Title*
Company*
Mailing Address*
City*
State*
Zip Code*
Work Phone*
Home Phone
Cell Phone*
Email Address*
NOMINATOR'S INFORMATION:
Nominator's First Name
Nominator Last Name
Nominator's Email
Phone
 
Please click submit only one time.  The transaction may take several seconds.

Need help?  Questions?  Contact Michele Bickerstaff at mbickerstaff@cobbchamber.org or (770) 859-2345.