First Name *

Last Name *

Organization *

Phone *

Email *

Address Line 1 *

Address Line 2 *

City *

State *

Enter required value

Postal Code *

Date of Birth *

Age *

If nominated by someone, please include their name and email address below:

Is this your first time applying for the 20 Under 40 program? *

Yes

No

Program Payment *

The tuition cost to participate in the program is $500.00. The tuition is not due withthe application but is due within 30 days if you are selected for the program. Payment can be completed with a check or by card. There are three ways to pay for the program: 

1. Pay for yourself
2. Have your Business Sponsor you
3. Apply for the Opelika Chamber’s Scholarship (see scholarship application on webpage to apply).

Please select if you are planning to:

Pay for Yourself

Business Sponsor

Apply for Scholarship

Are you (or your company) a member of the Opelika Chamber? *

Yes

No

Have you informed your employer that you have applied for this program? *

Yes

No

Please list any accommodation needs or dietary restrictions.

Please list your t-shirt size. *

Application Question #1 *

What interests you the most about Opelika's 20 Under 40 program? What makes you a good fit for the program? 

Application Question #2 *

What do you expect to gain from participating in the program? 

Application Question #3 *

As a resident of Opelika, what role would you like to play in its future progress? 

Application Question #4 *

Please share your favorite Opelika experience.

Application Question #5 *

Please list your volunteer and leadership experience.

Application Question #6 *

Please include a short biography for the newspaper if you are select to the program. (Ex: Bob Smith is a Professor at Southern Union State Community College. Prior to joining Southern Union, Bob served as an 10th grade history teacher. He completed his Masters in Public Administration from the University of Georgia. Bob has lived in Opelika for 5 years with his wife Jill.)

Please upload Recommendation Letter #1.

Two letters of recommendation are required to complete your application. If you’re unable to upload them at this time, please have them emailed directly to saffron@opelikachamber.com.

All letters must be submitted no later than May 30th to be considered. 

20MB max

Please upload Recommendation Letter #2. *

Two letters of recommendation are required to complete your application. If you’re unable to upload them at this time, please have them emailed directly to saffron@opelikachamber.com.

All letters must be submitted no later than May 30th to be considered. 

20MB max