Survey - Emerging Leaders for Children's Interest Form

Members of Emerging Leaders for Children’s (ELC) agree to make Children’s their #1 community priority—committing their time, talent and funds to Children’s Healthcare of Atlanta during their three-year term. Candidate applications are accepted through late summer, and the ELC Membership Committee conducts personal interviews in the fall. Invitations to join are extended in November, with service beginning in January. Approximately 6 to 8 new members are confirmed each year. For more information visit our website.

ELC Member Qualifications

Members shall be chosen who…

Demonstrate the highest level of personal integrity
Distinguish oneself as a rising professional or community volunteer
Demonstrate one’s commitment to improving the health and well-being of children within one’s sphere of influence
Possess relationships with organizations and individuals key to advancing the work of and raising funds for Children’s
Demonstrate interest in furthering personal leadership skills through service to Children’s and the greater Atlanta community
Exhibit the financial ability to personally support the Children’s mission with a donation of $2,500 during the first year of service, and $5,000 each subsequent year

Application

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Name:

First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Phone Number: Required

Employer:

Yes! I want to be able to receive emails from Children's Healthcare of Atlanta Foundation staff, leaders, and programs.

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Question - Required - First Name

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Question - Required - Last Name

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Question - Required - Email

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Question - Required - Phone

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Question - Required - Employee

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Question - Required - Occupation

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Question - Required - Why do you want to get involved with ELC?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Whom should we thank for referring you to ELC?

Question - Not Required - Individual's Name

Once you have submitted the survey, please email your resume or bio to elc@choa.org to complete the application process.

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Question - Required - Please enter the CAPTCHA code that appears to the right of the field below

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Emerging Leaders for Children's Interest Form

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