Leadership 2026 Application

The Port Orange South Daytona Chamber of Commerce invites all members, partners, and their employees to participate in this nine-week program, which takes a comprehensive look at community operations and local leadership. In addition, participants will receive personal skill development from certified trainers.

TUITION - $600

Tuition covers the cost of all of the sessions including refreshments, lunches, speakers, materials, shirt, diploma, and the graduation breakfast.

PERSONAL INFORMATION

Enter First & Last Name

First Name *

Last Name *

Contact Information *

Cell Phone Number

Email Address (Personal) *

Shirt Size *

Please indicate shirt size (adult unisex sizes)

Dietary Restrictions *

Please let us know if you have any food allergies or dietary requirements we should be aware of when planning the menu. If you have none, put "N/A"

EMPLOYER INFORMATION

Employer *

Your Title *

Email Address (Work) *

Mailing Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

LEADERSHIP EXPERIENCE

Have you attended a leadership program? If so, please list program(s) attended: *

Are you involved in any community organizations? If so, please list: *

PARTICIPANT COMMITMENT

I understand the purpose of the Port Orange South Daytona Chamber Leadership program and I will devote the time and resources necessary to complete the program. I commit to attend ALL sessions. Even though emergencies do arise, any participant missing more than 2 sessions, for whatever reason, will not graduate. No portion of the tuition shall be refunded. Tuition is due upon notice of program acceptance. I understand the above commitments and agree by entering my name below.

Enter First & Last Name

First Name *

Last Name *

Once form is submitted, you will receive an invoice for tuition payment.

Leadership 2026 Application

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