Emerging Leaders Program Application

The Emerging Leaders Program requires a commitment from the applicant to attend and participate in all activities and workshops as outlined in the syllabus. The course will commence in January 2020 and will conclude in December of 2020. Participation throughout the year is mandatory. All sessions and workshops are required. Please review the proposed timeline at http://natco1.org/Education/documents/EmergingLeaderProgramDescription6-14-2019.pdf Exact dates will be posted soon.

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* 1. Please provide your contact information:

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Please provide your supervisor/manager's contact information:

Name and Title

Email Address

Phone Number

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* 3. Are you currently in a leadership role?

Yes

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* 4. If yes, how many team members do you supervise?

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* 5. If yes, how long have you been in this role?

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* 6. Please tell us about a challenge you are facing as a leader. If you are currently not in a leadership role, what challenge might you anticipate encountering as a first time leader?