Experience Springdale Application

Participation in EXPERIENCE SPRINGDALE is open to management personnel twenty-five years of age or older who live or are employed in the Springdale Community.

Each Experience Springdale class is carefully selected to achieve balance in terms of professional backgrounds, leadership experience, level of leadership and time in the Springdale community. The makeup of each year’s class is intended to reflect the diversity of our city. This is a one day a week, for three consecutive weeks program. It is no cost. The class dates/times for this program are: October 30th, November 6th and November 13th from 8 a.m. – 4 p.m.

Complete application below, or email answers to caroline@chamber.springdale.com.

*Deadline to apply for the Fall Session is October 9th, 2024

Application Date *

Name *

First

Middle

Last

Age *

Address (City, State, Zip) *

Date of Springdale Residency *

Phone *

Email Address *

If married, spouse's name

Employer *

Company Address *

Job Title *

Time in current position

List previous employment in reverse chronological order (include active military duty.) *

List employer, title/responsibility, dates and reason for leaving.

What brought you to Springdale? *

Have you ever been convicted of, or entered a plea of guilty, no contests, or had a withheld judgment to a felony: *

Why are you interested in the Experience Springdale program and what do you expect to gain? *

Do you have permission from your employer to be away from the job three consecutive days in a three week period? *

Do you have any allergies or special needs? *

Emergency Contact Name *

Emergency Contact Relation *

Emergency Contact Phone (8a.m. - 5p.m.) *

EXPERIENCE SPRINGDALE APPLICATION