LNC Class 31 Interest Form (2023-2024)

Thank you for your interest in Leadership North Carolina. The application period for our 2023-2024 program year will be open June 1 - June 22, 2023.

If you would like to receive information about Class 31 (2023-2024) or future LNC classes, please complete the prospective applicant interest form below. Your information will not be shared with any third parties.

Salutation

First Name

Middle Name

Last Name

Suffix

Nickname/Preferred Name

Gender

Ethnic Origin/Race

Employer

If you are not employed or are retired, please enter No Company.

Title

Sector

Region

Preferred Email Type

Work Email

Personal Email

Preferred Phone Type

Work Phone

Please enter your phone number using (123) 456-7890 format.

Home Phone

Please enter your phone number using (123) 456-7890 format.

Mobile Phone

Please enter your phone number using (123) 456-7890 format.

Business Address

Business City

Business State

Business Zip Code

Business County

Home Address

Home City

Home State

Home Zip Code

Home County