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Open Enrollment Topic:

Leadership Development


Dates & Fees

9/13/2009 - 9/18/2009
ENROLL - $4,695


Team discount: Save 10% when three or more from the same organization register as a group.

 

 

For more information, please contact Pam Yunker at 608-441-7330 or pwlm@exed.wisc.edu

Professional Women’s Leadership Matrix

Application Process:

Candidates for the Professional Women’s Leadership Matrix must submit an application form. Participants will be selected based on their professional experience and potential ability to contribute to and enhance the overall learning community. Applications will be reviewed and the participant will be informed of their admission to the Professional Women’s Leadership Matrix within 3 business days.

Ways to Apply:

To apply online, please complete our online application below.

Professional Women's Leadership Matrix Program Application

Participant Information

Salutation:
First Name:
Last Name:
Preferred Name:
(Name as it will appear on name badge)
Gender Male Female
Job Title:
Management Level: Senior Management
Upper-Middle Management
Middle Management
Other
Company/Organization:
Business Address:
City, State, Zip, Country:
Personal Address:
City, State, Zip, Country:
Business Phone:
Home Phone:
Fax #:
E-mail:
Company Website:
Please provide information on the Human Resource or Professional Development contact in your organization
Salutation:
First Name:
Last Name:
Company:
Job Title:
Address:
City, State, Zip, Country:
Phone:  
Fax:
Email:
Experience
Educational Background
(list most recent first)

School: Degree:   
School: Degree:             
School: Degree:                       

  Are you a University of Wisconsin Alumnus? Yes      No
  Number of years of full-time work experience:
5   6-8   9-10   11-15  16-20 20+        
  Number of years of management experience:
5   6-8   9-10   11-15  16-20 20+    
 

List the previous positions you have held during the last 10 years, beginning with the most recent.

 

Name of Company:
Position:
Name of Company:
Position:
Name of Company:
Position:
    

What is your current function within the company?
Company Information
What industry is your company in?
What are your annual sales?
Approximate number of employees:
Organization Type:    

Private     Public      Nonprofit    

Government     Other

Additional Information
  Responsibilities (Describe your present duties and responsibilities, including information on direct reports and assets managed):
  Objectives (What are your reasons for attending SLI? How will attending these courses benefit you and your company?)
How did you learn about this program?

Referred by past participant
Received brochure
Referred by Human Resources or Professional Development Contact
Referred by Manager
Executive Education Website
Executive Education Catalog
Print marketing (postcard, letters or newsletter)
E-mail

  What are some important challenges you are facing?


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