2009 Leadership Academy Application
This application is also available in PDF format.
SECTION 1: Personal Information
Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Salutation:
First Name:
Middle Initial:
Last Name:
Title:
Company Name:
Company Address:
City:
State:
ZIP:
Company Phone:
Company Fax:
E-mail Address: (please provide to receive confirmations via e-mail)
Home Phone Number:
Birthday:
I heard about the Academy from:
Demographics
Gender:
Race/Ethnicity:
If you chose other, please specify:
Sexual Orientation:
I identify as a person with a disability.
If yes, please describe if you believe this may affect your participation in the Academy.
In principle and in practice, ASAE & The Center for Association Leadership value and seek diverse and inclusive participation within the field of association management. ASAE & The Center promote involvement and expanded access to leadership opportunity regardless of race, ethnicity, gender, religion, age, sexual orientation, nationality, disability, appearance, geographic location, or professional level.
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SECTION II: Work Experience
Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Total years full time association/nonprofit experience:
Total number of years with current organization:
Total number of years of professional work experience:
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SECTION III: Education
Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Undergraduate College/University Attended:
Degree:
Advanced Degree or Studies:
Honors, Awards, Honor Societies:
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SECTION IV: Organizational Information Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Number of Employees:
Organization's Budget Size for FY09:
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SECTION V: Questions Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Please answer the following questions (no more than 500 words per question) .
Please describe why you want to be part of the Leadership Academy.
What do you feel the roles of associations and non-profits are and how do you see yourself aiding this community in the future?
Please describe an accomplishment, accolade or achievement that you are most proud of (e.g. community activity, awards received, challenges overcome and so on).
Please list all personal or professional volunteer experiences from the last three (3) years.
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Uploads Personal Info | Work Experience | Education | Organizational Info | Questions | Uploads
Please upload a current copy of your resume, bio and headshot.
Resume:
Bio:
Headshot:
indicates a required field
