To be considered for the Mountain West Leadership Institute program fill out all questions on this form and attach a letter of recommendation from your supervisor or CEO.  Applications are accepted through December 15, 2021.  Applications are considered on a first come, first served basis.  Notification of acceptance will be sent by January 10, 2022.  Contact Diana Adell at dadell@mwcua.com, 307-259-1169 for additional information.  

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* 1. Credit Union or Organization

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* 2. Applicant's Name

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* 3. Applicant's Title

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* 4. Applicant's Office Phone

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* 5. Applicant's Cell Phone

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* 6. Applicant's Email

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* 7. Branch Mailing Address

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* 8. Supervisor's Name & Title

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* 9. Supervisor's Phone

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* 10. Supervisor's Email

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* 11. Leadership: In 50 words or less describe your own leadership experience.

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* 12. Goals:  In 50 words or less provide your own leadership goals.

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* 13. Attach a letter of recommendation from your supervisor or CEO.

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* 14. Thank you for filling out 2022 MWCUA Leadership Institute nomination/application.  You will be notified by Jan. 10 on your application.

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