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Immersive 10-month program for mid- to senior-level managers

Applications for the Impact San Diego Class of 2022 are due by 5:00 PM on Friday, July 2.

The application will take approximately one hour to complete; please set aside some time to finish it as you cannot save your applications. If you wish to fill it out in advance, you may download the Word version of the application.

Please also review the Application Supplement as it has important information regarding the program and application process. If you have any questions, email Program Manager Kim Van Nguyen.

Cost:
Non members - $3,950
Chamber members - $3,555

Interviews are scheduled for Thursday & Friday, July 15 & 16, 2021.

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* 1. First Name

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* 2. Last Name

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* 3. Primary Email

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* 4. Alternate Email 

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* 5. Work Phone Number

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* 6. Mobile Phone Number

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* 7. City of Residence

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* 8. Zip Code of Residence

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* 9. Job Title

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* 10. Company Name

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* 11. Company Address

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* 12. Company City

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* 13. Company Zip Code

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* 14. How did you hear about Impact San Diego?

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* 15. Have you applied for Impact in the past?

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* 16. If yes, when?

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* 17. How many years have you lived in the San Diego/Northern Baja region?

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