TG Student Services Leadership Symposium

For questions about the symposium or the application process, please contact Wendy Rivera at wendy.rivera@tgslc.org or call (800) 252-9743, ext. 2869.

Application

Your application may be submitted in writing or electronically. The application must be postmarked no later than December 1, 2011.

Full Name:

Title:

Name of School:

Address:

City:

State:

Zip Code:

Work Phone:
(Include Area Code)

Ext.

Alternate Phone:
(Include Area Code)

Ext.

Fax Number:

Work Email Address:

Home Email Address:

Shirt Size:

Personal Statement of Interest in the Symposium

Please insert a concise (100 - 300 word) statement indicating why you consider yourself an appropriate candidate for the leadership symposium and what you hope to gain from participation in it.

Reference 1

Please submit a letter of recommendation from someone on your management team.

Full Name:

Relationship to Applicant:

Phone Number:
(Include Area Code)

Ext.

Text from Letter of Recommendation:

Office Issue

Please indicate in the space below a pressing issue or challenge that your office is facing (e.g., customer complaints, teamwork, conflict with another office on campus, retention, funding, etc.). Describe its origins, symptoms, impact, and any methods of resolution that have been attempted to date. This issue may be used as a case study during the course of the program.