LEADS Application 2024-2025
Applications due by 6/30/2024
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Name (First and Last)
Department
Job Title
Supervisor
LWTech Start Date
/
/
Email Address
Work Phone
What are your goals and objectives for participating in the program?
How would you like to grow your role within the College in the next five years?
If you would like a copy of this form before you submit, press Ctrl-P on your keyboard to print. You may choose to save it as a pdf. Thank you for taking the time to submit your application!
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