LDP Application Form

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LDP Application Form

PROGRAM: Leadership Development Program 鈥� May 6 to May 9th, 2024

Deadline to apply is February 29th, 2024.听聽

* Course deposit: $350.
Applicants are expected to attend the full 3.5-day Program. The deposit will be returned upon completion of the full program.

**Cancellation fee:
Cancellations received in writing before April 8th,聽2024 will result in a complete refund of the deposit of $350.
Refunds for cancellation requests received after this date and no shows will not be possible.

Please provide a personal cheque of $350 (made payable to 91社区) or a Fund number (which can be provided by your department - also ensure that the fund rules allow for a cancellation charge) with your completed Signature Form - LDP 2024.听

1 Start 2 Complete

Title/ Titre *

Name *

Department / Division *

Department address *

Current Position *

E-Mail address *

# years as a faculty member *

Past / Current leadership positions

Why are you interested in attending this program? *

What are your specific goals in attending this program? *

What are some of the leadership challenges that you are currently facing? *

What change initiative, if any, would you like to work on during this program? *

How will you apply what you learn? *

Please remember to also complete and submit the Signature Form.

Leave this field blank

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LDP Application Form

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