2020 Chicanx/Latinx Leadership Summit Application - UC Office of the President
Date: January 9—January 10, 2020
Location: UC Berkeley

Notes: This online application has been created to collect information from UC Office of the President staff and faculty interested in attending the UC Chicanx/Latinx Leadership Summit January 9—10, 2020, in Berkeley, California. The deadline to apply is October 11.

Questions related to this conference and/or nominations of Chicanx/Latinx staff and faculty can be directed to: Claudia Martinez at claudia.martinez@ucop.edu.
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First Name *
Last Name *
Preferred Gender Pronouns *
Email Address *
Cell Phone (or Best # to Reach You) *
Job Title *
Department *
Staff or Faculty *
Confirmation of Dates *
If other, please specify.
Briefly share your interest in attending the UC Chicanx/Latinx Leadership Summit and how this opportunity can support your development. *
Please tell us about your leadership activities related to the development of Latinx/Chicanx staff, faculty and/or students at UC Office of the President. *
Are you interested in career growth and/or do you aspire to further develop your leadership impact at UC Office of the President? What are your short- and long-term plans for your career? *
Any final notes or comments about your participation as a delegate of UC Office of the President?
If you are not selected for the two-day program, would you like to participate at the January 9 event, Celebrating UC's Chicano/Latino Community? *
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