Leadership Chatuge Application
Name that you would like on your certificate at completion.
3. Preferred mailing address. *
3. Preferred mailing address.
City
State/Province
Zip/Postal
This is the number you don't mind others calling you on.
Name you preferred to be called by.
Text only - Example: five
7. County where you live. *
8. County where you work or attend school. *
17. There are a multitude of ways to invest your new skill set in your community. In what ways might you be interested? Place a check by those of interest. *
18. Who will be paying the tuition?
19. Use the dropdown menu to select your level of tuition.
Total

20. I have a financial need, and would like to be considered for a partial scholarship.

You do not need to have a PayPal account to pay on line. After you click on the "Pay with PayPal' button you will be redirected to the PayPal site. Once you are on the PayPal site, select the option of "Pay with Debit or Credit Card" to pay and complete your registration.

If you are a Hinton employee, high school student or seeking a partial scholarship, by clicking the Pay with PayPal button, your application will be send directly to Hinton Center.  Payment will be determined at a later time.

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