2020 Team True North Leadership @1440 Multiversity

Thank you for applying to 2020 Team True North Leadership @1440 Multiversity, January 21-23, 2020. We will respond back to you within five business days of receiving your completed application. Upon acceptance, a deposit is due to secure your spot. Please note that due to the interactive nature of this program English proficiency is required. The application deadline is December 10, 2019. CEU credits are available. Please send any questions to michelle.rittenberg@1440.org.

Thank you for interest in attending 2020 Team True North Leadership!

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* 1. Personal Information

Name

Street address

City, State, Zip/Postal Code

Phone

Country

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* 2. Education Background

Are you a UC Berkeley alumni?

If yes, what year and school did you graduate from?

If not a UC Berkeley alumni, please describe your education (School, Degree, Dates of Attendance).

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* 3. Employment Information

Company/Organization Name

Company Address

Company/Organization Website

Tell us about your organization: Industry/Products/Services

Number of Employees

Your Title/Position

Describe your role and leadership responsibilities.

Tell us about your team including size and geographies.

Tell us about the leadership challenges you or your organization are facing?

Are you applying as an individual or as a team?

If a team, how many people are applying?

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* 4. Professional Experience
Please list your positions in reverse chronological order, starting with your current one.

Company, Title, Dates

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* 5. What do you think other participants may learn from you?( e.g., perspectives, skills, expertise)

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* 6. How did you learn about this program?

1440 Email

1440 Catalog

UC Berkeley Corporate Education

Facebook

Instagram

Radio Ad

From a friend

Bill George Network

Web Ad

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* 7. Statement of Truth:
By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

Yes

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* 1. Personal Information

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* 2. Education Background

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* 3. Employment Information

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* 4. Professional ExperiencePlease list your positions in reverse chronological order, starting with your current one.

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* 5. What do you think other participants may learn from you?( e.g., perspectives, skills, expertise)

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* 6. How did you learn about this program?

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* 7. Statement of Truth:By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

* 4. Professional Experience
Please list your positions in reverse chronological order, starting with your current one.

* 7. Statement of Truth:
By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.