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1.
Application for Value based leadership fall 2010
This application is for the course starting on 22nd - 24th October 2010. In order for us to have some basic data for a phone interview, we would like you to answer the following questions.
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1.
Contact information
Name:
Address 1:
Address 2:
City/Town:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
*
2.
Age
(Required.)
*
3.
Sex
(Required.)
Female
Male
Other
*
4.
Organization
(Required.)
*
5.
Current position
(Describe your current leadership activities. For how long have you been in this position?)
(Required.)
*
6.
Earlier leadership experience
(What was your first leadership position, Which positions have you held?)
(Required.)
*
7.
Have you taken any leadership courses? If so, when and where?
(Required.)
*
8.
This is how I believe my friends would describe me.
(Required.)
*
9.
Describe your weak and strong areas in leadership.
(Required.)
*
10.
Important issues
(What are you passionate about? Why do you want to take this course?)
(Required.)
*
11.
Future
(How will you use what you learn during this course? How do you view your future as a leader?)
(Required.)
12.
Which references would you like to supply? This should be people who know you as a leader.
Reference 1 - name and phone number
Reference 2 - name and phone number
13.
Anything else you would like to add
