VAEOPP Emerging Leaders Institute (ELI) Participation Interest Form

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Please complete the following interest form by September 1st, 2024. By submitting this form you not only are indicating your interest and commitment for the entire year but also that you will be attending the annual conference pre-session, the conference, and Walk the Hill activities in March.

Name

Phone Number

Institution Name

Program Name

Has your Director given you permission to participate in the 2025 ELI cohort?

Yes

Clear selection

Will you be willing to come to the Annual VAEOPP Conference on Saturday, November 9th to participate with ELI learning sessions?

Yes

Clear selection

Can you commit to participating with Walk the Hill in March of 2025 in Washington, DC?

Yes

Clear selection

Within VAEOPP, what leadership roles interest you?

President

Secretary

Treasurer

Committee Chair

Program Representative

Other:

Clear selection

Why are you interested in joining the 202 ELI cohort?

Submit

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