Emerging Leaders Application Form - October 2024

Part 1: Emerging Leaders Application

This information is collected to help us assess your suitability for the Emerging Leaders program, and to better understand our registrant demographics. Your personal information is treated as confidential by Minerva BC and is collected and managed in accordance with the Personal Information Protection Act. By completing this form, you agree to Minerva BC's Privacy Policy and SurveyMonkey's Privacy Policy and that any data collected from this survey may be transferred to various countries, including the United States and other locations SurveyMonkey has offices.

The ongoing process of truth and reconciliation between Indigenous and non-Indigenous people is an integral part of all of Minerva BC’s work. Opportunities for conversation about this process as well as the complex nature of the intersectionality of diversity is an integral part of Emerging Leaders. All successful applicants to this program are asked to enter these conversations with an open heart and mind.

Application Instructions:

If you have any questions or require assistance in completing this application, please contact admin@minervabc.ca.

After submitting your application, a Minerva BC representative will contact you to finalize your registration and confirm payment. To secure your spot into the program, payment is required before the program starts. Minerva accepts payment by credit card, cheque and Electronic Fund Transfer.

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* 1. Applicant Information

First Name

Last Name

Preferred Pronouns

Preferred Phone Number

Preferred Email

Secondary Email

Employer

Position/Title

LinkedIn Profile

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* 2. Billing Address

Suite Number (if applicable)

Address

City

Province

Postal Code

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* 3. This program will be delivered fully online, and includes self-directed learning, online facilitated group sessions and peer group sessions. Please confirm your understanding of the time commitment.

Self-Directed Learning - 60-90 minutes prior to each facilitated group sessions.

Online Facilitated Group Sessions - 2 hours with breaks.

Peer Learning Sessions - 60 minutes to be scheduled by your peer group between facilitated group sessions.

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* 4. We want everyone to be able to engage fully in the program, so please let us know if you require any accommodation(s) to allow for your full participation.

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* 5. Why do you want to participate in the Emerging Leaders program? Please select your top two reasons.

Learn from other women leaders and expand my network

Learn about the latest trends and best practices in leadership development

Develop a clearer sense of my personal leadership style and strengths

Know how to inspire, motivate, and influence others

Learn how to effectively manage conflict and difficult situations

Improve my communication and collaboration skills (including feedback, coaching and difficult conversations)

Broaden my understanding of different leadership styles and approaches

Increase my self-awareness and hone my skills as an inclusive leader

Increase my leadership responsibilities and advance in my career

Learn about the effects of gender bias on career advancement

Other (please specify)

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* 6. How would you describe where you are in your career?

Other (please specify)

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* 7. Please share your last two job titles and responsibilities.

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* 8. Do you have access to funding to offset the cost of attending learning and development programming?

Yes, my organization is funding my participation in full

Yes, my organization is funding part of my participation

No, I am self funding

Other (please specify)

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* 9. Once you submit this application, you will receive an email with next steps and your invoice. If someone else is paying your invoice, please provide the appropriate name and email address for where it should be sent.

Send the invoice to me

Send the invoice to someone else (please provide contact info)

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* 10. The tuition for this program is $2000. Minerva offers tuition support for the following circumstances. Please click the tuition support, if any, that you would like to apply for.

Discounted fee of $1600 for working in the charitable or non-profit sector.

Discounted fee of $1600 for working for an Indigenous-led organization.