2021 Rural Community Water Managers Leadership Institute

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Self-Help Enterprises (SHE) is conducting Leadership Institutes via the virtual platform Zoom. With this signed application, we accept your commitment to attend all trainings, in as far as possible. Please contact Manuel Leon at (559)801-1611 or electronically at ManuelL@SelfHelpEnterprises.org

Email *

Name

Mailing Address:

City, State, and Zip Code:

Email:

Phone:

Best Time to Contact you:

Morning

Afternoon

Evening

Name of Community:

Which of the following best describes your role in the community?

Board Member (Including President, Vice President, Treasurer, Secretary)

Staff Member (Including General Manager, Secretary, Bookkeeper, etc)

Community Resident (Not on Board)

Other:

Clear selection

Are you able to attend sessions via Zoom? The virtual platform requires access to high speed internet or a working telephone line.

Yes

Maybe

Clear selection

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