Application Form

We are excited that you are interested in applying to the Leadership Team! Please fill out the following form and hit submit to complete your application. 

If you have any questions about the Leadership Team, or would like to get more information about this program, please feel free to email our Leadership Team Coordinator at [email protected] or contact The Green Room office at 587-524-0091.

We look forward to meeting you soon!

Application Deadline: November 30, 2017

Part One
Name *
Date of Birth *
Date of Birth
Cell Number *
Cell Number
Home Address *
Home Address
Part Two
How did you hear about this opportunity? *
Agreement of Understanding *
I have read through the Leadership Team description thoroughly. I understand that the Leadership Team requires a one-year commitment, where members meet weekly on Wednesday from 6:00-8:00 PM, in addition to two team retreats, and attending various community events. I understand that, on average, the Leadership Team requires a commitment of about 12 hours per month.

Never underestimate the power of a small group of people to change the world. It is the only thing that ever has.
— Margaret Mead