Chapter Leaders
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Join the Her Podium® TEAM
as a Chapter Leader
Apply HERE…

Date

YYYY

Name

First Name

Last Name

City, State

Phone Number

Current Occupation

What would your friends say are your best qualities?

Describe any teaching/training experience you have. Online teaching? (not necessary)

3 words that describe you?

Are you comfortable meeting people and networking?

Do you have any experience with public speaking? (it is not a requirement)

Anything else you would like to share about yourself?