PGMS LEAD 2024-2025 Application - Apply by September 6, 2024

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* 1. Name and credentials

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* 2. Employer (company, organization, university, etc)

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* 3. Address

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* 4. Email address

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* 5. Phone

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* 6. Please list the number of years of experience in a supervisory role

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* 7. Are you current a member of PGMS?

Yes

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* 8. Why are you interested in participating in the PGMS LEAD Program

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* 9. Do you require funding assistance?

Yes

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* 10. If yes, please provide the total funding support needed in order to participate

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* 11. If you require special accommodations in order to participate, please provide additional information of what is necessary to enable your participation. PGMS will work to ensure that your needs are met.

Please review the following schedule of LEAD session dates for 2024-2025. The following presentations will take place via Zoom from 12:00 noon - 2:00 PM ET on the following dates:

September 25, 2024
November 12, 2024
December 3, 2024
February 6, 2025
March 4, 2025
April 9, 2025
June 5, 2025
August 5, 2025

Programs at the Annual Conference will take place:

Tuesday, October 15, 2024 - 2:00 PM - 3:00 PM - Louisville, KY
Date TBD, 2025 Annual Conference

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* 12. Please confirm that you are able to attend the above listed sessions with the understanding that only one excused absence will be granted.

Yes

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* 13. Please upload a letter of support or recommendation from your employer that confirms their support of your participation in 2-3 hours a month of leadership education, and if you choose, attendance at the both the 2024-2025 PGMS Annual Conferences (only required for applicants for the Conference package)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 14. Applying for:

Base Package (Eight Zoom presentations) - Member rate - $899

Base Package (Eight Zoom presentations) - Non Member rate - $999

Conference Package (Eight Zoom presentations PLUs registration for the 2024 and 2025 Annual Conferences - Member rate - $1,799

Conference Package (Eight Zoom presentations PLUS registration for the 2024 and 2025 Annual Conferences - Non Member rate - $2,199

Submit by September 6, 2024. All applications will be considered, however space is limited and preference will be given to members of PGMS. Notifications will be sent by September 13. Payment will be due upon acceptance.