Elevation: UPS Women’s Leadership Academy Registration

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Please use this form to register for the Elevation: UPS Women’s Leadership Academy taking place March – October 2024. In addition to this registration, we need all participants to submit a professional headshot. See details at this link.

You must complete the entire form in one session. Before beginning, we recommend you gather the information you need and compose the short answer responses in another word processor – you can copy and paste them into the form.

Please complete this registration by 11:59 p.m. on Monday, March 11, 2024.

"*" indicates required fields

Name

Please enter your name*

Prefix First Middle Last Suffix

Work

Job Title*

Year Current Employment Began*

Work Address*

Street Address City State ZIP Code

Work Phone*

Work Email*

Enter Email Confirm Email

Personal

Home Address*

Street Address City State ZIP Code

Mobile Phone*

Personal Email*

Enter Email Confirm Email

Preferred FIRST NAME ONLY (for class nametag)*

If selected for this program, we'll order a permanent nametag for you. The nametag will include your preferred first name as well as your last name.

Dietary Restrictions*

If none, type "none."

Special Accommodations*

Nursing mothers, wheelchair accessibility, etc. If none, type "none."

Demographics

Diversity is an important part of our mission. In an effort to understand our applicants and ensure all populations are served, we have a few questions we'd like to ask. Please know that:
- This information is used to collect demographic data on our applicants.
- The information will not be used for a discriminatory purpose.
- Only Leadership Louisville Center staff and the selection committee will have access to this information.
- Your responses will be kept private and secure.

Date of Birth*

MM/DD/YYYY

Gender*

Gender Notes

If you selected, "I prefer to self-identify," please do so in this field.

Preferred Pronouns (optional)

If you provide pronouns, they will appear on your permanent nametag. For example: "She/her/hers", "He/him/his", "They/them", "Ze/zir/zirs"

Race/Ethnicity*

Are you a veteran of the U.S. armed forces?*

Do you identify as part of the LGBTQ+ community?*

Are you Foreign Born?*

If foreign born, what is your country of origin?

Short Answer

Answers of 1500 characters or less per question are allowed. (approximately 200 words)

To be completed only by applicants who currently have direct reports:

Tell us about the team you manage now, and describe the challenges and wins you have experienced leading up, down, and across as you have advanced in leadership roles.

To be completed only by applicants who do not have direct reports:

Describe the challenges and wins you have experienced leading peers and also leading up as you have advanced in leadership roles.

Tell us about your long-term career aspirations. Explain what excites you most about ELEVATION, and how you believe it can help you reach your goals.*

Number of years in a management role:*

How many direct reports do you currently manage in your role?*

This question will ensure you are placed in the most beneficial peer group.

What is the total number of individuals who report up to your position?*

Program Commitments

Important - Please Read!

After clicking the Submit button, it may take a few moments to process your form. Once your registration is complete, you will see a confirmation message and receive an email within five minutes that contains all the information you submitted. If you do not see this in your inbox, please check your junk folder. If you have any problem with this application, contact Emalee Morley at (502) 561-5222.

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