RGA Development Form

Name

First Name

Last Name

Phone

(###)

###

####

City/Region you’d like to lead

What leadership training or certifications have you completed? (Maxwell, business, or other)

Briefly describe your current leadership role(s) in business or community.

Why do you want to lead an RGA region?

What excites you most about bringing RGA to your area?

How many hours per week can you commit to growing and supporting your RGA region?

What existing connections, networks, or resources could you bring to this role?

How would you measure success in your first 12 months as a Regional Leader?

Are you willing to uphold RGA’s values of trust, collaboration, and service? (Yes/No)