2021-2022 GSAE Leadership Academy Application

Leadership Academy

Please fill out the application completely. Once the class is set, you will receive an invoice for $1,600.00 for the program. Please contact our office if you are interested in a payment plan through December, 2022.

Question Title

* 1. Applicant Information

First Name

Last Name

Designation/Degree

Title

Number of years in industry/profession

Question Title

* 2. Organization Information

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Which best describes your organization? Choose one.

Other (please specify)

Question Title

* 4. Membership Scope, if applicable

Other (please specify)

Question Title

* 5. What do you hope to gain from the GSAE Leadership Academy?

Question Title

* 6. 1) Describe one professional goal you would like to achieve in the next three years

Question Title

* 7. Electronic Signatures Required.

Applicant acknowledges the attendance and classwork expectations of GSAE's Leadership Academy (9 sessions plus homework, a capstone project, and graduation).

Board Chair, CEO or supervisor signature acknowledging successful participation in GSAE's Leadership Academy requires time out of the office as well as class prep time.