Women's Leadership Circles of Vermont Application 2023
Welcome! We are now accepting applications for the Women's Leadership Circle of Franklin/Grand Isle Counties, set to begin in October.

Our application process is designed to ensure a good fit between applicant and program. The Women’s Leadership Circles of Vermont support powerful women across sectors. Successful participants have the initiative and vision to push themselves toward greater personal and professional achievement and to grow in their roles as influential change-makers. To explore the fit, we recommend that you have a conversation with Lisa Christie before you complete the application. She can be reached at j.lisa.christie@gmail.com.

Please note that it is not possible to save this application in progress. We recommend you review the entire application and type out the answers to the essay questions in a separate word processing program, and then cut and paste the replies into the form when you are ready.

Applications are due June 26th for Early Bird discount of $100.  Final Application deadline is July 24, 2023.


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First Name *
Last name *
Contact Information
Home Phone *
Mobile Phone *
Email address *
Mailing address *
Please include your city and zipcode.
Work Information
Work title/ position *
Company *
Name of company or organization.
Work Address *
Street address, city, state and zip of your company or organization.
Work Phone *
Work Email *
Resume
Leadership Roles *
Please list your volunteer and professional leadership roles held in the past 5 years.
Educational Attainment *
Please list your degrees, year earned, and institution. Include other leadership institutes and certificates.
Awards
If you have received any awards, honors or recognition for your leadership, please tell us about them.
Memberships
List your memberships (eg Rotary, a faith community, professional organizations, etc).
Unexpected Skills *
Share 2 talents you have that don't necessarily show up on your resume (eg waterskiing, knitting, speaking Japanese).
Reference #1 *
List a reference who can speak to your leadership skills. Include their name, phone number, email, and a brief description of how they know you.
Reference #2 *
List a second reference who can speak to your leadership skills. Include their name, phone number, email, and a brief description of how they know you.
Longer Answers
The application includes three longer answers. Each answer can be anywhere from a paragraph to a page long. Please take some time to think about these questions. You will probably want to draft your replies in a word processing program and then copy and past them into the answer boxes.
State of the self *
What is your life situation right now? Please share where you are professionally and personally at this moment in your life. What is most important to you? What questions are you asking yourself? What is going well, and what - if anything - is holding you back?
Leadership journey *
Describe your most meaningful leadership experience from the past couple years. Why was it important to you and what did you learn?
Why WLC, and why now? *
Why is this the right time for you to participate in the WLC? What would make it worthwhile for you?
Demographics
We collect this information for research and statistical purposes only.
Year of birth
Hispanic identification
How would you describe yourself?
Clear selection
Race
Clear selection
Gender
Clear selection
Veteran Status
Clear selection
Logistics
Date Conflicts
Please review the following session dates and mark any dates you absolutely can NOT attend.
Interference
Is there anything that might interfere with your ability to participate fully in your personal and professional development during the six months of the program?

On Covid:

While not required, we highly encourage that participants be vaccinated and boosted.

Please take personal responsibility for noticing if you are experiencing any symptoms the day of the event or are a close contact of someone with active Covid and to contact Kerry to discuss.  

And if, by chance, Covid numbers spike, we may ask you to take a Rapid test before the session to keep our community as safe as possible.

Of course, we can’t plan for everything, but be assured that we will communicate in a caring and collaborative way to address any unknowns that may arise.
*
Required
Dietary Preferences
We will work to accommodate your dietary needs for our retreat meals. Please describe any dietary preferences (check all that apply).
Last words
Agreements - please initial in box below. *
I give Watershed Coaching and Kerry Secrest (hereinafter, “Watershed Coaching”) permission to use data I provide to report outcomes of the program proposals for future funding of the program, and articles on women’s leadership.   I, also, grant Watershed Coaching the right to use, reproduce, and/or distribute quotes, photographs, films, videotapes, or sound recordings of my participation with Women’s Leadership Circles of Vermont for use in any informational or promotional materials they may create. There will not be any financial payment to me for use of these materials. I understand that if Watershed Coaching wants to use my name for specific quotations, they will ask me for permission.  I will hold Watershed Coaching harmless from any claims and/or liability based upon my involvement and participation in activities of the Women’s Leadership Circles of Vermont.
How did you hear about WLC? *
Please pay $25 application fee. All money collected will  go toward WLC scholarships. https://www.watershedcoachingllc.com/payment/p/application-fee
Thank you!
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