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Program Request (Professional Staff)
Please note that we are typically unable to facilitate over the weekends. If possible, please try to select a date during the week, Monday-Friday. Please note that we require 2 weeks notice for presentations/facilitations.
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First Name
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Your answer
Last Name
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Your answer
Phone Number
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Email Address
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Your answer
Are you a:
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Student
Faculty/Staff
Advisor
Mason Alum
Community Member
Required
Are you requesting this program for:
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student organization or student leader group
class
department or office
Other:
Required
What is the name of the group we are presenting (ex: department, office, student organization or group name, class name, residence hall, etc.)
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Your answer
Date requested for program (1st choice)
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MM
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DD
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YYYY
Time Frame for Program (1st Choice)
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Your answer
Date requested for program (2nd choice)
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MM
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DD
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YYYY
Time Frame for Program (2nd Choice)
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Your answer
Estimated Number of Participants
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Room Location
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Your answer
What areas are you most interested in having the LEAD Professional Staff address and facilitate on? Please note it's best to choose no more than 1-2 focus areas for a facilitation
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Leadership 101: No Title Needed (1 to 1.5 hours)
LEGO Leadership (1.5 to 2 hours)
StrengthsFinder: Discovering and using your Top 5 (Gallup StrengthsFinder Assessment Instrument) (1.5 to 2 hours)
Strengths, Part 2: Leading Positive Change
Emotionally Intelligent Leadership. More important than IQ? (EQ-i 2.0) (1.5 to 2 hours)
What Would You Do? Making Tough Ethical Choices (1.5 to 2 hours)
Secrets of Ethical Leadership (1.5 to 2 hours)
Values Based Leadership: Identifying your most essential values (1 to 1.5 hours)
Myers Briggs Type Inventory: Understanding Preferences (MBTI Assessment Instrument) (1.5 to 2 hours)
Team Building: It's more than just "Breaking the Ice" (1 to 2 hours)
Leadership Communication (1 hour)
LEAD Overview and Training Opportunities (30 min to 1 hour)
What can TV’s “The Good Place” teach us about Positive Change? (1 to 1.5 hours)
Positive Conflict Management (1.5 hours)
Bringing Your Purpose to Life: Goal Setting (1 hour)
Bridging Differences: Increasing Understanding
Are we Preparing Students to Lead Positive Change? (A workshop designed for educators)
Other:
Required
Please list any specific needs or accommodations your group may need.
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Additional notes or comments
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