Advanced Tech Leaders Application 2024-2025

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You must apply to participate and participation is limited. It is mandatory that participants attend at least six of the seven sessions to complete and graduate from the program. The application deadline is October 3rd, 2024. Applicants will be notified of their selection into the Advanced Tech Leaders Academy by no later then September 29, 2024. Applicants are encouraged to reapply the following year if they are not selected. Any questions contact: Monika Philp // Director of Talent & Transformation // monika@aiminstitute.org

Contact Information

First Name *

Middle Initial

Last Name *

Title *

Company *

Company Address Line 1 *

Company Address Line 2

City *

State *

Zip-Code *

Phone *

Work Email *

LinkedIn AccountLinkedIn

How did you hear about AIM Advanced IT Leaders Academy?

How do you identify? (check all that apply)

Male

Female

Prefer not to say

Other

How do you identify? (check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White or Caucasian

Prefer not to say

Other

Do you identify as LGBTQ+?

Yes

Prefer not to say

Other

Questions

Describe your current position and main responsibilities at work: *

What are some professional challenges you face today in your current IT role? *

List three characteristics that are essential for an IT manager to possess in order to be successful: *

What are you hoping to achieve through the Advanced Tech Leaders program? *

Please list any leadership or management development programs attended: *

Please give a brief description of your career objectives: *

Which (if any) assessments have you taken already?* *

Emergenetics

Top 5 CliftonStrengths

CliftonStrengths 34

Emotional Intelligence Testing

Enneagram Test

Everyday Innovators Assessment

Other

Accountability Partner

Please select someone from your organization to serve as your Accountability Partner (AP) during the program. Your AP will spend time with you each month discussing the session and finding ways to implement the session concepts within your work environment.

Name *

Email Address *

Title *

Employer/Manager Name *

Employer/Manager Title *

Employer/Manager Email *

Class Roster Photo *

I will submit my photo to mthorne@aiminstitute.org by October 16, 2023

Required

I acknowledge all classes will be in person and attendance is mandatory pending an emergency. *

I acknowledge and will be attending all sessions in person

Required

Participant Conditions *

By checking this box, I hereby state that the above information is correct to the best of my knowledge.

I have obtained approval from my employer/manager (if applicable) to participate in the IT Leadership Academy.

All parties involved understand the time and financial commitment required for completion of the program.

Required

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