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The Leadership Academy Application 2011-2012

APPLICATION REQUIREMENTS:  

Supervisory approval is necessary to participate in The Leadership Academy. Send completed application to Erin Tuttle via email, fax 407-528-8270, or to mail code 3-36.

APPLICATION DEADLINE: September 14, 2011

COURSE REQUIREMENTS:    

Monthly reading assignments Regular journaling In-depth self-assessments and evaluations Consistent attendance is required for all workshops

Applicant Name: ___________________________________________________________________ Years at Valencia: _________ Position/ Title: ___________________________________________ Campus: ______________ Mail Code: _________________ Office Phone: ________________ Email Address: ___________________________________

Position Classification (please select one): _______ Administrator ______ Faculty ______ Professional Staff _____ Career Staff

Supervisor’s Information: Name: _____________________________________________________________ Campus: ______________ Mail Code: _________________

Office Phone: _________________

Send completed application to Erin Tuttle at etuttle2@valenciacollege.edu, fax 407-582-8270, or to mail code 3-36.


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