Management Leadership Institute Application

Thank you for your interest in Management Leadership Institute.

Please submit your completed application no later than Friday, February 21, 2025 by noon.

Please note: A completed application does not guarantee acceptance into the series.

NAME NAME First Last
CWID/BANNER ID
Maximum of 9 characters allowed. Currently Entered: 0 characters.
PHONE PHONE - ### - ### ####
EMAIL
JOB TITLE
DEPARTMENT NAME
Please answer the following questions to complete the application.
Have you discussed your participation with your supervisor and received approval?

Have you discussed your participation with your supervisor and received approval? Yes No
Will you commit to at least 9 of the 10 sessions in the series?

Will you commit to at least 9 of the 10 sessions in the series? Yes No
Will you commit to three, one-hour virtual coaching sessions?

Will you commit to three, one-hour virtual coaching sessions? Yes No
Have you previously completed the Supervisor Academy series, or are you currently enrolled? (this is not a pre-requisite for MLI)

Have you previously completed the Supervisor Academy series, or are you currently enrolled? (this is not a pre-requisite for MLI) Yes No
Are you currently in a manager role (manage at least one full-time employee)?

Are you currently in a manager role (manage at least one full-time employee)? Yes No
How many employees do you currently supervise?
Full-time employees, direct report:
Full-time employees, indirect report:
Part-time/student/temporary employees, direct report:
Why are you interested in the Management Leadership Institute series?
What do you hope to gain from this program?
If accepted into this program, what goal would you set for yourself as a manager?
Please type your first and last name to confirm your signature.
Date Date / MM / DD YYYY