AdministrativeAcademyApplication
ApplicantInformation:
LastName:  FirstName: 
Title:
Department:
Manager:
DeskPhone:Email:
FresnoStateID#:  
StatementofInterest.BrieflydescribewhyyouwouldliketoparticipateintheAcademy.
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Whatdoyouhopetogainbyparticipatingintheacademy?
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Whatskillsorexpertiseareyouwillingtosharewithothers?
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Listanytopicsyouwouldliketocover(i.e.,communicationstrategies,stressmanagement,
wellness/balance,etc.)
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Whileparticipationisvoluntary,an8monthcommitment(8programsessions;each2
hoursinlength)isexpectedofparticipants.
IcommittobeanengagedandsupportiveparticipantinallAdministrativeAcademy
workshopsandcommittoattendallworkshopsofferedaspartoftheAcademyunless
criticalbusinessorpersonalmattersprohibitmydoingso.
ApplicantSignature    Date: ____
ApplicantName(Printed)_______________________________________ Date:_____________
BoththeapplicantandIbelieveshe/hewillbenefitfromandcontributetotheAdministrative
Academy.Weunderstandthetimecommitmentnecessaryandhaveidentifiedwaystomaketime
andotherresourcesavailabletoallowher/himtofullyparticipantintheprogram.
Manager/DepartmentChairSignature Date: _____
Manager/DepartmentChairName(Printed)_________________________Date:______________
ApplicantsshouldsubmitthisformtoOrganizationalExcellence,Attn:KatieWilliamsontoM/SML52