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Application - Personal Statement - Professional Reference Leadership Institute Participants

Personal Statement

NEOA LEADERSHIP INSTITUTE
2010-2011

Please provide us with a personal statement (of no more than 1000 words) that describes your interest in The Leadership Institute. Please address the following:

  1. What is your current position and what are the various leadership roles you perform?
  2. What is it that you value about the work that you do and what keeps you motivated?
  3. What are your professional goals now, in five years, and in ten years?
  4. What are some of the strengths and challenges of your leadership style?
  5. What do you hope to learn and what skills do you hope to develop at the Institute?
  6. Describe your supervisor’s support of your participation in The Leadership Institute and, if relevant, his/her willingness to cover the Institute fee and travel costs, and to provide leave-time. If your supervisor is not willing or able to provide such support, please explain how you intend to meet these requirements.

Please submit your personal statement on separate sheets. Sign and attach this cover sheet.

Name: _______________________________________________________
Signature: _______________________________________________________
Date: _______________________________________________________

Please check one:

_____ I am currently a member of NEOA
_____ I have enclosed my membership form and fee for 2009-2010

Optional information: Race/Ethnicity (check all that apply)

_____ African American/Black _____ Native American
_____ Latino/a, Hispanic _____ Caucasian
_____ Asian-American/Pacific Islander _____ Other_______________
_____ Biracial/Multiracial    


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