Register


There are two ways to register for LEAD courses.

1. Online
  • Fill out the form to the right and submit it.
  • Mail a check for the propper amount to the following address:

    LEAD-ECI
    1208 W. White River Blvd., Suite 100
    Muncie, IN 47303
2. Mail

Registration and Payment Deadlines

LEAD Spring 2010
Registration Deadline: March 15, 2010
Payment Deadline: March 29, 2010

LEAD Fall 2010
Registration Deadline: August 16, 2010
Payment Deadline: August 30, 2010


Tuition

LEAD tuition is $700.00. If you are an employee of a nonprofit organization, a 50% discount is available. If you have any additional questions regarding tuition and payment, please contact Richard Crist, Executive Director at (765) 285-4900 or rcrist@leadeci.org.


Registration Disclaimer

Permission to Publish

Your submission of either an electronic or printed application allows LEAD-ECI to include your name, title, current employment, and/or photograph on LEAD-ECI's website, publications, advertising, and press releases.

Online Registration Form


Course:
Your Name:
Address:
Sponsor:
Email:
Home Phone:
Work Phone:
Cell Phone:

Place of employment and current title

Briefly list or describe the community leadership and/or
involvement activities in which you have previously participated:

Briefly describe why you are interested in applying for the LEAD program:

Program participation by diverse cross-section (i.e., racial, ethnic, gender, age, etc.) of the community is highly desirable. Therefore, the following information is not required, but may be voluntarily furnished by the applicant to assist us in creating a program that reflects the diversity of our community as a whole.

All information will be held in strict confidence.
Sex
Age Range
Ethnicity
Annual Income
Tuition

Please remember to mail a check or money order payable to LEAD-ECI to:

LEAD-ECI
1208 W. White River Blvd., Suite 100
Muncie, IN 47303

If you have additional questions about the program, please contact Richard Crist, Executive Director at 285-4900 or rcrist@leadeci.org