2018 Transformational Leadership Development Series (TLD) Application

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* 1. Personal/Professional Information:

Name

Company

Position/title

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What are your current job responsibilities?

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* 3. If you currently lead/manage people, in what capacity and how many?

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* 4. Why do you want to participate in the Transformational Leadership Development Series?

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* 5. What do you consider your most significant career/leadership contributions and/or experience?

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* 6. What is your greatest challenge as a leader/manager?

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* 7. What leadership skills/knowledge would you want to gain from this Leadership program?

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* 8. Tell us why you should be selected to participate in the 2018 program?