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Personal
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Last Name
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Illinois
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Professional
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Illinois
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Biographical Data
Submit a brief autobiography, which includes employment and current community involvement.
Statement
Write a brief statement of why you want to be a member of the Sauk Valley Community Leadership Program.
Issue
Briefly identify one current issue/topic facing our communities that interests you.
Confirmation
If I am selected to be a member of the Sauk Valley Community Leadership Program, I confirm that I will pay the tuition or the tuition will be paid by the following business/organization:
Business/Organization
By submitting this application, I confirm that my business/organization supports my application and will allow me to attend all class sessions.
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