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Membership Application


Your application has been submitted. No more edits may be made.

In addition to your online application, your $25 application fee must be received by Leadership Jacksonville by Monday, January 25, 2021, to complete the application process. If you have already submitted payment, thank you.

If you have not submitted payment, please send your check to:

Leadership Jacksonville, Inc.
40 East Adams Street, Suite 230
Jacksonville, FL 32202


Pay online at the payment center.

Only completed application will be reviewed by our Selection Committee.

If you want a copy of your application for your records, click here to view and print.