Alachua County Emerging Leaders

Step One: Online Application Form

Personal Information

First Name

Last Name

Date of Birth

/ /

Preferred Phone

Backup Phone

Do you have a website? On Twitter, Facebook and/or LinkedIn? Please provide URL.

Company Information

Company or Firm

Occupation (Title)

Address

City

State

Zip

ACEL Related Information

List other community activities you are involved in:

How did you hear about ACEL? (List member, if referred)

Please add me to the following committee’s e-mail lists so that I can receive regular updates:

Social Membership Fundraising Community Relations Kickball Professional Development Communications and Marketing Community Policy and Advocacy

I agree that Alachua County Emerging Leaders (ACEL) reserves the right to use photos of me taken at ACEL events and activities for promotional purposes.

Agree

Membership Type

Please select the type of membership:

New Membership
(1 year - $50) New Membership + 1 year renewal (2 years - $75) Renewing Membership (must be within 90 days of expiration)
(1 year - $35) Renewing Membership (must be within 90 days of expiration)
(2 years - $60)

and go on to step two