Administrative Academy Application
Applicant Information:
Last Name: First Name:
Title:
Department:
Manager/Dept. Chair:
Desk Phone: Email:
How long have you worked at Fresno State? ___________________________________________
Fresno State ID #:
Statement of Interest. Briefly describe why you would like to participate in the Academy.
What do you hope to gain by participating in the Academy?
What skills or expertise are you willing to share with others?
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: Katie Williamson to M/S ML 52 by Friday August 28, 2015.
Questions? Please call (559) 278-5330