Women s Leadership Academy

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1 Women s Leadership Academy 2019 Application Application Requirements 1. A completed online application. This should take about 15 minutes to complete. This file is for reference. Applications will only be accepted online via the following link: 2. A copy of your resume' (PDF only) or the URL for your public LinkedIn profile 3. One letter of reference (PDF only): The letter should be from either a current supervisor or an external stakeholder you have worked with. It should highlight your strengths, achievements, and reasons why you would be a a good fit for the Women's Leadership Academy 4. Your organizational chart (optional, PDF only): The chart should demonstrate your reporting structure, including any positions that report to you. Your Contact Information APPLICATION All questions require responses unless otherwise indicated. 1. First Name 2. Last Name 3. Your Job Title 4. Your Company/Organization 5. Your Contact Information (Primary): Address, Phone Number

2 6. Your Contact Information (Secondary): Address, Phone Number (optional) Your Current Professional Role 7. Which of the following best describes your current industry [multiple choice, choose one] a. Arts b. Biotechnology/Life Sciences c. Child Development/Child Care d. Communications/Media e. Construction f. Economic Development / Workforce Development g. Education h. Energy/Utilities i. Finance/Banking j. Government/Politics k. Hospitality/Tourism l. Insurance m. Law n. Manufacturing o. Non-Profit p. Office/Business Services q. Restaurant/Food Service r. Retail s. Social Services t. Technology u. Transportation/Warehousing v. Other (please specify) 8. How many employees does your company or organization currently have? (multiple choice, choose one) 9. How many employees do you currently supervise? 10. Please upload your organizational chart. (PDF only, optional) Your Accomplishments 11. Have you participated in a similar leadership program before?

3 12. If so, in which program(s) have you participated? 13. Please list any awards or recognitions that you would like us to know about. (You can indicate that this information is already included on your resume.) 14. Please list community, civic, business/professional and/or social organizations that you are or have been affiliated with and any positions held. (You can indicate that this information is already included on your resume.) 15. Do you prefer to upload your resume' now or provide the URL for your public LinkedIn profile? Your answer to this question will lead you to a space to either upload your resume (PDF only) or enter the URL for your LinkedIn profile. Please make sure your LinkedIn profile is set to public in your privacy settings if you choose the latter option. 16. Resume upload option. 17. LinkedIn URL option. About You 18. How would you describe yourself as a leader, and in what ways would you like to develop and grow your leadership skills? (500 words) 19. What goals do you have for participating in the Women s Leadership Academy? These goals might be individual, related to your company or organization, for women in general, or some combination of these. (500 words) 20. If you could choose anyone in the Greater New Orleans Region to be your professional mentor, who would you choose and why? References 21. Please upload one letter of reference (PDF only). The letter should be from either a current supervisor or an external stakeholder you have worked with. It should highlight your strengths, achievements, and reasons why you would be a good fit for the WLA.

4 Please provide information for two professional references that we may contact. Do not include the person providing your letter of reference. 22. Professional Reference #1: name, company, address, phone number 23. Professional Reference #2: name, company, address, phone number Demographics Your responses to these questions will help us ensure a diverse representation of participants. Loyola University New Orleans has fully supported and fostered in its educational programs, admissions, employment practices, and in the activities it operates the policy of not discriminating on the basis of age, color, disability, national origin, race, religion, sex/gender, or sexual orientation. This policy is in compliance with all applicable federal regulations and guidelines. 24. Where is your company or organization located? City, state, zip code 25. Where do you live? City, state, zip code 26. What is your 4-digit birth year? 27. Which describes your race/ethnicity? a. American Indian or Alaskan Native b. Asian and/or Asian American c. Black and/or African American d. Hispanic and/or Latino e. Native Hawaiian or other Pacific Islander f. White and/or Caucasian g. Prefer not to answer h. Prefer to self-describe [textbox] 28. With which gender do you identify? a. Female b. Male c. Non-binary d. Prefer not to answer e. Prefer to self-describe [textbox]

5 29. What is the highest degree or level of school that you have completed? If you are currently enrolled, please select only what you have completed. a. Some high school b. High school diploma or G.E.D. c. Some college credits d. Associate s degree e. Bachelor s degree f. Some graduate coursework g. Master s degree h. Doctorate i. Other certificates (please specify) 30. Are you a Loyola alumna or alumnus? 31. If you are a Loyola alumna or alumnus, please answer the following questions: highest degree completed, major, year of graduation Commitment To successfully complete the Women s Leadership Academy at Loyola University New Orleans, a participant is expected to attend all sessions and complete an Individual Development Plan (IDP) including monthly one-hour mentorship meetings. Participants with more than two (2) excused absences will not complete the program. Please review the schedule thoroughly and make plans accordingly. If you anticipate that you will miss one of the scheduled dates, please let us know in advance. The full list of session dates can be found at Monthly mentorship meetings will be scheduled individually once a participant is accepted into the program. 32. Are you able to make this commitment? Yes or no Checkbox: Yes How Did You Hear About the WLA? 33. How did you hear about the Women s Leadership Academy? (open-ended text box)

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