Leadership Essentials Women's Group 2024 Application

Thank you for your interest in the Leadership Essentials Women's Group! The application deadline is 8/19/24. Please contact Katherine Keefe at Kkeefe@loyola.edu if you have any questions.

PERSONAL INFORMATION

First Name*

Last Name*

Cell Phone*

Personal Email*

Work Email*

Street Address*

DEMOGRAPHIC INFORMATION

In order to recruit a diverse cohort, the following demographic information is requested.

Age

22-29

30-39

40-49

50 & Above

Race/Ethnicity

American Indian or Alaska Native

Asian

Black/African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Other

Prefer Not to Answer

WORK INFORMATION

Current Employer*

Job Title*

Approximate Date of Hire*

(MM/DD/YYYY)

Number of Direct Reports*

Individual Contributor

1-4

5-9

10+

Supervisor Name*

Supervisor Email*

Briefly describe your current responsibilities*

Education (Please check the highest level completed)*

High School Diploma

Some College Coursework

College Degree

Masters Degree

PhD or Other Terminal Degree

Other

If other, please specify

PERSONAL STATEMENTS

Why do you want to participate in the Leadership Essentials Women's Group? What specific skills/knowledge do you hope to gain?*

Thank you for your interest! Participants selected for the cohort will be notified by 8/26/24. Please contact Katherine Keefe at Kkeefe@loyola.edu if you have any questions.