Women in Leadership Application

Women in Leadership Application

This Women in Leadership Certificate cohort application

indicates that you commit to attend a

minimum of 6 out of 7 weeks in-person classes for

your chosen cohort.

Please note:

Each session will have required pre- & post-work.

Step 1: Cohort Information

Please select the cohort you would like to participate in for the Women in Leadership Certificate.*

Select

Have you spoken to an Executive Education team member about the Women in Leadership Program?*

Yes

Step 2: Personal Information

Prefix

First Name*

Last Name*

Email Address*

Main Phone Number*

Phone

Step 3: Professional Information

Please provide the link to your LinkedIn Profile (if possible)

Step 4: Educational Experience

Have you earned a degree?*

If yes, please list the highest level degree you received (for example, if you received a Master's Degree just list your Master's Degree information).

Yes

Which Instution(s) did you attend?*

What degree(s) did you earn?*

What year did you earn your degree(s)?*

Step 5: Current Role & Organization

What company do you currently work for?*

List your title and current role.*

Please list your current role responsibilities.*

What outcomes and goals do you have for the Women in Leadership Certificate program?*

Step 6: Course Payment Information

How do you intend to pay for the program?*

Personally

Company Funding (Full)

Company Funding (Partial)

Other - I would like an Executive Education team member contact me to discuss my options.

If you have a promotional code, please enter it here.

Step 7: Final Thoughts

If you have more information you would like to share, please complete the box below:

This can be information relevant to the course, your personal, educational, professional, etc or other thoughts regarding this application and Women in Leadership Certificate prorgram.

Please share how you heard about Women in Leadership?*

If you are aware of multiple sources, choose all that apply:

Employer Sponsorship

Facebook

Friend/Colleague

Executive Education Team Member

Other

End of Survey!

Someone from our team will be in contact with you soon regarding your application!

Send me a copy of my responses

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