Horizons Chair Expression of Interest

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We value the experience of our voluntary Chairs and their willingness to support our next generation of young business leaders as they develop. We will be enacting a comprehensive support structure for our Chairs across programs and cities in 2020, including orientation and the opportunity to interact, share experiences and support with your fellow Chairs, locally, nationally and internationally.

Note: Please complete details below and then click on "Review" to view and submit your form.

Your Details

First Name *

Last Name *

Email *

Phone Number *

Job Title *

Gender *

Birth Date

Day

Month

Year

Please enter your LinkedIn address like this - https://au.linkedin.com/in/yourusername

Twitter

Please enter your Twitter username like this - https://twitter.com/yourusername

Company Details

Organization Name *

Street Address *

City *

State/Province *

Country *

Postal Code *

Website

Please enter the web address with http://. For example http://www.example.com

Industry ANZSIC type

Turnover

No of Employees

Additional details

Tell us why you want to get involved in this program. (What are your aims and objectives?) *

Please outline your mentoring/chair experience (if any). *