Fall 2016 Young Gamechangers Application

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Thank you for your interest in participating in GeorgiaForward's Fall 2016 Young Gamechangers program. Please complete the questions below and then email your resume, headshot, and cover letter detailing your interest in participating to kris@georgiaforward.org by Friday, May 27, 2016. Thank you!

Name

Georgia Community Where You Live

Georgia Community Where You Work

Current Employer

Professional Title

Phone Number

Email Address

Age as of December 1, 2016

Bio

Please write your professional bio below in 150 words or less

Attendance for the Fall 2016 Augusta/Richmond County Young Gamechangers Program is mandatory. Program dates are August 11-12, October 13-14, and December 16. Are you able to attend all five of these days?

Yes, I can attend all five program dates

No, I will not be able to attend all five program dates

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