Oregon State University

Leadership Program Application

Please complete all areas of the on-line application below. Our goal is to select a balance of people for this program considering position, gender, ethnicity, OSU experience, colleges, departments, etc.

Applications must be submitted by Thursday, November 15, 2012.

Alternative format: If you would like an application in an alternative format, please email your request.

Demographic Information
Full Name:
Name Preference:
Position/Title:
Employment Type: Classified
Professional Faculty
Academic Faculty
E-Mail Address:
Gender: M F      Ethnicity:
Years Employed at OSU:
Current Department:


Approval

I have discussed this with my supervisor including time implications and have his/her permission to participate.

NOTE: Session schedule (subject to change as necessary)

Yes No
(Once selections have been made, a separate form will be provided to formalize this agreement. Supervisor signature will be requested, but may not be applicable, depending on your position.)


Essay Question
This program is designed for those who have a genuine interest in leadership that includes self-exploration. As such, those who are willing to fully engage in this journey will benefit the most. Being a self-starter with the ability to follow through will be to your advantage. As a first step in this process, please provide your answers to the 3 questions below:

1. Please share one strength or leadership quality that you would like to elevate to another level. And, what will taking it to another level allow you to accomplish?


2. In part, leadership is about realizing possibilities. What’s one possibility you’re working on or would like to work on that will create a greater future for you?


3. Please share a difference you would like to make in your job and in your personal life.


Submits to Leigh Larkin, Training & Organizational Effectiveness.

Contact Info

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Training & Organizational Effectiveness
Office of Human Resources
Oregon State University

122 Kerr Administration Building
Corvallis, OR 97331-2132
541-737-3207
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