2024 Leadership Torrance Application Form

Application

Name*
First Last
Company/Organization*
Job Title*
Day/Work Phone*
Evening/Cell Phone*
Email*
Enter Email Confirm Email
Work Address*
Street Address Address Line 2 City State ZIP
Full Date of Birth*
Driver's License Number*
Are you a part of Southwest Airlines Rapid Rewards frequent flyer program?*
- Yes
- No
If yes, please provide your Rapid Rewards number.
Are you/your company currently a member of the Torrance Area Chamber of Commerce?*
- Yes
- No
Why do you want to participate in Leadership Torrance? What specific goals do you hope to achieve during the program?*
What, or who, has most influenced your current leadership skills?*
What do you consider to be your most significant accomplishment, either personally or professionally?*
What community/volunteer programs do you currently participate in; and why did you choose to become involved with them?*
How did you hear about Leadership Torrance?*
- Torrancechamber.com
- A Leadership Torrance Graduate
- At a Torrance Area Chamber of Commerce program or event
- Social Media

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