Supervisory Learning Series Participant's Application

Complete this form if you would like to be considered for participation in the Supervisory Learning Series. Your supervisor must also submit the supervisor's form prior to the deadline. Forms will be submitted individually, but both are required.

Please consult our web site for specific program information and dates.

Contact Information

*Required

*Your Name *Department

*Your e-Mail   *Your Telephone Number 

*Your Supervisor's Name


Supervisory Responsibilities

*Required

*How long have you been a supervisor?  

*How many people do you currently supervise?

Permanent Staff    Temporary Staff    Student Employees 


Preferred Session Dates

Summer 2012 Intensive: July 23 through 27

Early Spring 2013 Session: Feb 7 and 21, Mar 14 and 28, Apr 11 and 25

* Please choose the session to which you are applying:


Essay Questions 

What specific results do you hope will come from this experience?

How does this supervisory program align with your professional or personal goals? (Please be as specific as possible.)

 

How do you hope to be able to incorporate your learning?

 

Anything we haven't asked that you would like us to be aware of:


Time Commitment

Attendance at all six days and three electives is required. Will you able to make the required meetings? (Consult the schedule on the web site for specific dates.)

Yes No 

The series requires 50 hours of class time and an anticipated 10 additional hours of independent work. Is your department willing and able to support the time away from the office necessary to complete the requirements?

Yes  No 

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