2024-25 GSAE Leadership Academy Application Leadership Academy Please fill out the application completely. Once the class is set, you will receive an invoice for $1,500.00 for the program. Please contact our office if you are interested in a payment plan through December, 2025. OK Question Title * 1. Applicant Information First Name Last Name Designation/Degree Title Number of years in industry/profession OK Question Title * 2. Organization Information Organization Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 3. Which best describes your organization? Choose one. Professional Society (represents individuals mostly) Trade Association (represents companies mostly) Association Management Company (AMC) Charitable/Philanthropic Social or fraternal organization Corporation that operates as an association Corporation that provides goods and services to the association community Other (please specify) OK Question Title * 4. Membership Scope, if applicable Local / State Regional National / International Other (please specify) OK Question Title * 5. What do you hope to gain from the GSAE Leadership Academy? OK Question Title * 6. 1) Describe one professional goal you would like to achieve in the next three years OK Question Title * 7. Electronic Signatures Required. Applicant acknowledges the attendance and classwork expectations of GSAE's Leadership Academy (9 sessions plus homework, a capstone project, and graduation). Board Chair, CEO or supervisor signature acknowledging successful participation in GSAE's Leadership Academy requires time out of the office as well as class prep time. OK DONE