NJACCHO is thrilled for the opportunity to offer the Dale Carnegie: Develop Your Leadership Potential Program.  This application is intended for those interested in the NORTHERN NJ offering, scheduled for:
  • October 25th
  • November 1st
  • November 8th
Sessions will be held from 9:00 - 5:00pm on the dates listed above.

Space is limited.

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* 1. Name

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* 2. Email

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* 3. Health Department

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* 4. What is the name of your current title?

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* 5. Is your current role a position of formal leadership?  (At least 1 staff member who reports directly to you)

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* 6. The sessions will be held on:
October 25th
November 1st
November 8th 

The best program outcomes are attained by participants who can participate fully in all program activities.  Considering your current role and the schedule, are you able to commit to the program schedule?

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* 7. Have you received approval from your Department and/or supervisor to attend the scheduled sessions in person?

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* 8. Why are you interested in participating in the Dale Carnegie: Develop Your Leadership Potential program?

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* 9. How do you believe participating in the Dale Carnegie Develop Your Leadership Potential program will impact your current position and/or career?

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