Colorado Bioscience Executive Leadership Program 2023 Application

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Please answer the following questions and submit to the Colorado Bioscience Institute no later than December 20, 2022.

Find more information on the Executive Leadership Program on the Institute website:
https://www.cobioinstitute.org/executive-leadership-program

Email *

Name:
*

Title:
*

Company:
*

Please provide your email:
*

Current Role/Responsibilities:
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Career Highlights: Please bullet 3-5 key experiences; not a repeat of your chronological resume. Examples: Led cross-functional team responsible for opening first manufacturing facility outside U.S. for major medical devices firm; participated on Global Consulting team to develop brand strategy for Chilean pharmaceutical firm; created a remote financial advisory service that grew to 5 million customers in 2 years.
*

On a scale of 1 to 10 where would you rate your current leadership skills?
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*If requesting a scholarship for the program, please also provide an explanation with the reason and amount requested. Scholarships will be confirmed upon acceptance into the program.

Your answer

Please indicate if you need to have billing for the course filed within a specific year.

For grand reporting purposes, how do you identify? You can choose multiple answers.

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Native Hawaiian or other Pacific Islander

Multi-racial

White or Caucasian

Other:

For grand reporting purposes, how do you identify? You can choose multiple answers.

Identifies as a Woman

Identifies as a Man

Gender non-binary or non-conforming

Part of the LGBTQIA+ Community

Other:

Thank you for applying. You will hear back from us after December 20th. If you have any questions, please reach out to Janie Butler at jbutler@cobiosceince.com.

A copy of your responses will be emailed to the address you provided.

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