Fillable Supervisors Institute Application (Mohawk Valley Community College)

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Supervisors Institute Application (Mohawk Valley Community College)

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The Supervisors Institute Application (Mohawk Valley Community College) form is 2 pages long and contains:

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  • 25 other fields

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File type: PDF

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SUPERVISORS INSTITUTE
CENTER FOR LEADERSHIP EXCELLENCE | CLEMV.ORG | CLE@MVCC.EDU
315.792.5321 | 1101Sherman Drive | Utica NY 13501
PLEASE COMPLETE THIS FORM WITH ALL INFORMATION REQUESTED FOR EACH SECTION.
Name (first, middle, last):
Company/Organization:
Job Title:
Home Address:
Home City:
State:
Zip:
Home Telephone:
Home E-Mail Address:
Cellular Telephone:
Work Address:
Work City:
State:
Zip:
Work Telephone:
Work E-Mail Address:
Work Fax:
For written communication, would you prefer that we use your home or work mailing address? Home Work
For electronic communication, would you prefer that we use your home or work email address? Home Work
PLEASE INCLUDE A CURRENT RESUME WITH THE SUBMISSION OF YOUR APPLICATION.
OTHER CONSIDERATIONS
Why is Supervisors Institute the right program for you? What skills or knowledge do you hope to gain?
SUPERVISORS INSTITUTE
CENTER FOR LEADERSHIP EXCELLENCE | CLEMV.ORG | CLE@MVCC.EDU
315.792.5321 | 1101Sherman Drive | Utica NY 13501
EXPECTATIONS
Supervisors Institute is a ten-month program comprised of half-day sessions starting in September as well as a graduation
ceremony in June.
Commitment to participating in Supervisors Institute centers on involvement in all program days and graduation.
Attendance is strongly encouraged for the ten program day sessions and graduation. Missing more than the equivalent of 2
sessions will jeopardize a participant’s eligibility for graduation.
TUITION
Supervisors Institute tuition is $1,800, which covers all program related expenses during the 10-month program term.
Unfortunately, we do not offer program refunds after the class start date.
If selected, full tuition must be received within 30 days of notification and/or no later than September 1
st
.
APPLICANT AGREEMENT
I have read and understand the commitments required of the Supervisors Institute program. I am willing to attend all
required sessions/functions of the Center for Leadership Excellence/Supervisors Institute and devote the time necessary to
be a contributing member of the class. I understand that if I fail to meet these obligations I will not be permitted to
graduate from the program and will not receive a refund of my tuition.
I am responsible for the $1,800 tuition fee.
My employer/sponsor is responsible for tuition
(obtain signature below)
Applicant Signature Date
EMPLOYER AGREEMENT
Applicants for Supervisors Institute must have the support and commitment of their employer. The signature of the
employer are required as an indication of complete support of the applicant’s participation. Financial support
indicates willingness to pay the applicant’
s tuition. Release time support indicates willingness to provide the
applicant with time off from work to attend monthly program days.
E
MPLOYER
W
ILL COMMIT TO
:
(check all that apply)
Release time support
Financial support
Employer Signature
Print Name/Title/Organization
Date Email Address
Please check each box to ensure application includes:
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Supervisors Institute Application (Mohawk Valley Community College)

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Completed 24 July 2020

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