Leadership River Region 2026 Cohort - River Region Chamber of Commerce

Leadership River Region 2026 Cohort

Please complete the Leadership River Region Cohort application. The Chamber will send an invoice for the application fee. If accepted, we will send an invoice for the program.

Program Cost

Application Fee: $35
Member Tuition: $1,500
Future-Member Tution: $1,800

Fields marked with an * are required.

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Personal Information
Leadership River Region is committed to selecting a class that is representative of the professional, racial, cultural, and ethnic diversity of the community. Your response to the following will assist the Selection Committee in determining the class mix.

First Name *

Please enter your preferred first name.

Last Name

Phone *

Mobile Phone *

Address Line 1 *

Please enter your mailing address.

Address Line 2

Please enter your mailing address 2, if applicable.

Address Type *

Work, home, or mailing

City *

Please enter your mailing city.

State *

Please enter your mailing state.

Postal Code *

Please enter your mailing postal code.

Email *

Please enter your primary email address.

Alternate Email *

Please enter an alternate email address.

Parish where you reside *

How many years have you lived in the Parish? *

What is your spouse or significant other's name? *

Please select your gender *

Please select your ethnicity *

Summarize your educational background *

Briefly summarize your educational background—list degree/certificates received, field of study, vocational training programs, professional institutes, etc.

Do you require any accommodations to participate fully in the program? *

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Business Information
The following questions relate to your business, whether you are self-employed or the company that you work for.

Please describe your business or type of work *

In a few words, please describe your business/work.

Please provide your business or employer name *

Please provide your business name if self-employed or your employer's company name.

Please enter your job title *

Please enter your business mailing address *

Please enter your business mailing address 2

Please enter your business mailing city *

Please enter your Business Mailing State *

Please enter your business mailing postal code *

Please enter or select your business mailing country *

Are you currently self-employed? *

What type of business? *

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Community Involvement Information
Please list business, professional, or job-related organizations of which you have been a member and that have been of significance to you.

Name of Civic, Religious, or Community Groups *

Please enter your community involvement. The end date column allows you to enter text in place of a date. Ex. If you are presently involved with the organization, enter "present."

Community Organization *	Responsibility *	Start Date *	End Date *	Awards Received *

What do you hope to gain from participating in Leadership River Region? *

In your opinion, what are the three most pressing problems facing the River Region Parishes today?

Please be sure to list the three most pressing problems and number each item (1.)

Please include a brief bio (Limit 175 Words) *

Please include a bio (limit to 175 words)

Please upload a headshot *

Please upload a headshot.

20MB max

Please Upload your Resume *

20MB max

Please Upload a Professional Reference *

Please upload a professional reference.

20MB max

Are you willing to commit to the time required for full participation in the program? *

Please verify that you have checked the “I'm not a robot” checkbox.

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