2023 Supervisor Support Form (for Leadership Jackson)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Supervisor must submit this form by August 9, 2023 at 5:00PM EST or applicant will not be considered for program.

Applicants must also complete their application form prior to the deadline. That form can be found at https://forms.gle/TRNrakc6qBdfhmjz6.

Applicant's First & Last Name *

Supervisor's First & Last Name *

Supervisor's Title *

Supervisor's email *

Supervisor's phone *

Supervisor's work address (city, state, zip) *

Leadership Jackson requires attendance every other Wednesday from 8AM-12PM, plus additional service hours for a 6-month period from September to April. As the employer, do you understand and support this time commitment to the Leadership Jackson program? *

Yes

Do you recommend this applicant as a qualified individual for the Leadership Jackson professional development program? *

Yes

Are you committed to, interested in, and encouraging their development through the Leadership Jackson program? *

Yes

Do you pledge to meet regularly with the applicant to discuss their development? *

Yes

Do you agree to receive emails regarding the applicant's participation, performance, and progress? *

Yes

Do you agree to make a sincere effort to attend the Leadership Jackson Graduation celebration in April 2024? *

Yes

To complete the application process, an application form must also be received from the applicant. Please confirm that step is taken prior to the application deadline. *

Applicant has already submitted the form

I will notify the applicant of the form link and deadline

Type your full name below indicating your submission of this Supervisor Support Form. *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms