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President's Leadership Academy Application

General Information:

The applications are due May 21^st,2023. The cohort will run September 2023 and end May 2024.

First Name:

Middle Initial:

Last Name:

Address:

Phone:

Email:

Professional Information:

Department:

Position:

Professional Experience:

Please list your positions in reverse chronological order, starting with your current one. If all positions are in the same company, please give the major promotional sequence.

Name of Organization:

Title/Position:

Start Date -- End Date

Name of Organization:

Title/Position:

Start Date -- End Date

Name of Organization:

Title/Position:

Start Date -- End Date

Name of Organization:

Title/Position:

Start Date -- End Date

Provide a brief description of your current role and your day to day responsibilities. How does your program or department ensure that we meet the mission and needs of our student population?

What areas of leadership or professional development do you wish to strengthen by participating in the President’s Leadership Academy?

What are three objectives you hope to accomplish by participating in The President’s Leadership Academy? How will reaching these objectives further your career?

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