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Please take a few moments to complete the nomination information below for Cohort 17.
Information on the person you are nominating:
Name, Title, and Department:
Nominee's Assistant's Name (if applicable)
Years of Leadership Experience of the nominee:
Number of FTE's the nominee supervises:
Manager's Name, Title, email address, and phone number:
Information on the Nominator:
Name, Title, emaill address, and phone number:
How do you believe the nominee would benefit from participating in the Leadership Academy?
Has the nominee taken a 360 assessment within the past year? If so, what instrument was used?
Thank you for your nomination. We will contact the nominee directly to let them know they have been nominated. Once the decision has been made regarding enrollment, the nominee will be contacted to advise them if he or she has been accepted.
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