Tallahassee Active Lifelong Leaders Application - Tallahassee Senior Center Foundation

TALL – Tallahassee Active Lifelong Leaders Senior Leadership Program

In partnership with the Chamber of Commerce Leadership Tallahassee, TALL provides participants an interactive “snapshot” of the community. TALL classmates meet with area leaders, experts and policy-makers and go on site visits for a better understanding of the area’s culture, politics, safety, housing, education, transportation, and other public services or private initiatives. TALL graduates are equipped to enhance positive change in our community through advocacy and volunteerism.

For further information, please contact Lisa Baggett at 850-891-4065 lisa.baggett@talgov.com

Thank you for your interest in TALL. For your convenience, we have multiple ways to submit an application.

Submit Online Option

Fill out the application form below and click submit to submit your application online.

Print and send in option

If you would prefer, you can download the form here print and complete; then either mail or hand deliver to: TALL Program, Tallahassee Senior Center, 1400 N. Monroe St., Tallahassee, FL 32303. Or scan and email to lisa.baggett@talgov.com

Name*
First Last
Name You Go By (for Name Tag)*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone*
Cell Phone*
Email*
Gender*
Ethnicity (Optional)
Birth Date (MM/DD/YYYY)*
Spouse/Partner Name
First Last
Spouse/Partner Phone Number
Other Emergency Contact Name (if Applicable)
First Last
Emergency Contact Phone Number
Are You Retired?*
- Yes
- No
If Yes, from Where Did You Retire?
What Is/Was Your Primary Profession?*
Are You Currently Working?*
- Yes
- No
If Yes, Where?
How Many Years Have You Lived in Tallahassee/Leon County?*
Please enter a number from 1 to 100.
Moved From:*
Please Tell Us About Your Recent/Current Volunteer Activities Below:*
Please Tell Us About Your Special Interests - COMMUNITY:*
Please Tell Us About Your Special Interests - PERSONAL:*
Please Tell Us About Your Special Interests - HOBBIES:*
In What Ways Do You Hope to Benefits from TALL?*
What Do You Think Are The Three Most Pressing Issues Facing Tallahassee/Leon County?*
How Do You Hope To Contribute to the Community in the Future?*
Anything Else You Would Like to Share to Help Us Get to Know You Better:*
Comments
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