LNC Class 33 Interest Form (2025-2026)

***Need to update autoresponder and landing page link once 33 dates/locations are firm***

Thank you for your interest in Leadership North Carolina. The application period for our Class 33 (2025-2026) program year will be open June 1 - June 24, 2025.

If you would like to receive information about Class 33 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

Employer

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

Title

Sector

Region

Work Email

Verify Work Email

Personal Email

Verify Personal Email

Preferred Email Type

This will be the email address used for LNC communications

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.

Preferred Phone Type

Business Address

Business City

Business State

Business Zip Code

Business County

Home Address

Home City

Home State

Home Zip Code

Home County