Diplomat Application Form

Name

Address

Member/Company Name

Job Title

Direct Phone

Cell Phone

Tenure w/Current Employer

Emergency Contact Phone

Years/Months of Involvement with CLC Chamber

Which Chamber events/benefits do you find most valuable and why

Previous volunteer experience

Please share why you wish to serve on the Diplomat committee and what qualities and skills you possess that would be an asset to the team:

Areas of Interest

Morning Mingle

Fun after Five

Ribbon Cuttings

Member Calls

Member Visits

Provide Referrals

Help with Event Set Up & Clean Up

Letter of Recommendation by current active Chamber member required (please attach)

Name of Member and Representative providing recommendation:

Relationship to applicant:

I have read and understand the Diplomat program summary and I am willing to meet the requirements for volunteer service with the Conroe/Lake Conroe Chamber of Commerce Diplomat program.

Printed Name

Upload your letter of recommendation

Accepted file types: doc, docx, pdf, Max. file size: 2 MB.

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