First Name *

Last Name *

Organization *

Title *

Address Line 1 *

Address Line 2

Office Phone Number *

Cell Phone Number

Email *

Headshot Submission *

A headshot will be needed for the Chamber website.

20MB max

Previous/current Chamber and community involvement: *

Please list three traits, qualities or experiences that you will bring to the Connectors group: *

What is your expectation as a member of the Chamber Connectors? *

Participation Requirements *

Connectors receive participation points for attending the following: Ribbon Cuttings, meetings or tours (times may vary), Business After Hours, typically on Thursday evenings (4:30-6:30 p.m.), and Decal Blitz at the beginning of the year. There will be a 90-day preliminary period once added to the group to ensure the Connector program is a good fit for you. The Chamber asks for 50% participation over the course of the year OR attendance of at least 2 of our events per month. Do you see these time commitments fitting into your schedule?

If so, type "Yes" in the field below

Acknowledgment and Commitment *

I will commit to fulfill the responsibilities required as a member of the Chamber Connectors to the best of my abilities. I will be a positive voice for the Chamber and will promote participation in Chamber programs and events.

By typing my name below, I acknowledge that I have read and agree to the above commitment and understand that my typed name serves as my electronic signature.