Administrative Academy Application
Please return completed form to Katie Williamson via email (kwilliamson@csufresno.edu) or
campus mail (M/S ML52).
Applicant Information:
Last Name: First Name:
Title:
Department:
Manager:
Desk Phone: Email:
Fresno State ID #:
Statement of Interest. Briefly describe why you would like to participate in the Academy.
What do you hope to accomplish through participating in the Academy?
List your long term goals.
List your short term goals.
What skills or expertise are you willing to share with others?
Program Conditions
1. While participation is voluntary, a one‐year commitment (8 program sessions;
each 2 hours in length) is expected of participants.
2. Meetings will be held monthly through the academic year.
3. Supervisor signature means the employee is supported to participate in this training program.
Applicant Signature Date:
Supervisor Signature Date:
click to sign
signature
click to edit
click to sign
signature
click to edit