• IMPACT Student Leadership Application

    IMPACT Student Leadership, through the Hartselle Area Chamber of Commerce, is a program designed to promote classroom and community leadership among high school students in Morgan County, Alabama. IMPACT is open to all 10th and 11th-grade students in Hartselle City and Morgan County Schools. IMPACT was created to grow life-long community leaders in the Hartselle area through mentorship, experiential and peer learning, community networking, service projects, and problem-solving opportunities. IMPACT aspires to contribute to the development of citizens that are aware of the building blocks to a strong community, can identify opportunities, understand their individual impact, and have the tools to produce change.
    Student Name
    Please use MM/DD/YYYY format.
    Home Address
    If no home phone is available, please enter your cell phone number.
    Please enter an email address that you will use for program communication and check regularly.
    Parent/Guardian 1
    Please enter an email address that you will use for program communication and check regularly.
    Parent/Guardian 2
    Please enter an email address that you will use for program communication and check regularly.
    Please enter your shirt size as S, M, L, XL, 2XL.
    Hartselle City or Morgan County Schools sophomores or juniors are the only eligible applicants for IMPACT Student Leadership. This includes Hartselle High, Brewer High, Priceville High, Danville High, and Falkville High schools.
    Hartselle City or Morgan County Schools sophomores or juniors are the only eligible applicants for IMPACT Student Leadership. Please respond with Sophomore or Junior.
    You must provide a copy of your transcript or most current report card.
    References
    Thank you for completing the information portion of the IMPACT Student Leadership application. The application also requires two adult recommendations. Your application will not be considered complete until they are received. To access the recommendation form to forward to your references, please visit the IMPACT Student Leadership webpage found at HartselleChamber.com.