Leadership Otero · 2026–2027 Class Application

Leadership Otero · 2026–2027 Class Application

Alamogordo Chamber of Commerce leadership program application. Complete the 6-page form with all required fields, repeating sections, uploads, attestations, and signature.
Personal Information & Demographics
Full Legal Name

First NameMiddle NameLast Name
Preferred Name for Name Tag
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Spouse/Partner (If applicable)
Spouse/Partner Occupation (If applicable)
Years lived in Otero County
Years lived in New Mexico
Have you participated in another community or state leadership program?
Program Name
City/County/State
Year completed
Employment & Education
Current Employer
Date Started with Current Employer

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Job Title
Type of Organization
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employment History
Brief Description of Your Responsibilities
Education
Most Significant Professional Contribution or Achievement
Employment History
Education
Use the repeating sections to list additional prior employment and educational records as needed.
Community Involvement & Essays
Community Involvement
Most Important Community Accomplishment
Why
Community Awards or Recognition Received
Additional Community or Civic Activities You'd Like To Be Active In
What specific skills or knowledge do you hope to gain from Leadership Otero?
Tuition, Scholarship & Employer Commitment
Will you personally pay the tuition?
Will your employer or sponsor pay all or part of the tuition?
Do you wish to be considered for a scholarship?
Please briefly explain your scholarship need
Employer Contact Name
Employer Contact Title
Employer Contact Email
example@example.com
Employer Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Organization
Employer Support Confirmation
References, Uploads, Attestations & Signature
Reference 1 Name

First NameLast Name
Reference 1 Title
Reference 1 Organization
Reference 1 Email
example@example.com
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name

First NameLast Name
Reference 2 Title
Reference 2 Organization
Reference 2 Email
example@example.com
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Name

First NameLast Name
Reference 3 Title
Reference 3 Email
example@example.com
Reference 3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Recent Professional Photo

Cancelof
Letters of Recommendation

Cancelof
Attestations
Digital Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Leadership Otero · 2026–2027 Class Application

Personal Information & Demographics

Employment & Education

Community Involvement & Essays

Tuition, Scholarship & Employer Commitment

References, Uploads, Attestations & Signature