WICT Washington, DC/Baltimore Chapter Spring 2023 Executive Development Series Scholarship Application

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Please complete the following information to submit your scholarship application by February 3rd. Applications will then be reviewed by a committee and winners will be notified on February 10th.

While you do not need to be a WICT member to apply, you will need to become a WICT member in order to receive the scholarship.

Scholarship includes registration to the 2023 WICT Executive Development Series (EDS): Executive Leadership Presence, which takes place April 12 - 13, 2023 in Savanah, GA.

Are you a current member of the WICT Washington, DC / Baltimore Chapter? *

Yes

Applicant Name *

Applicant Title *

Applicant Company *

Applicant Email *

Applicant Phone *

Note: If you are in transition, please tell us here about your circumstance.

Involvement with WICT:Please list WICT involvements from the past 3 years (either as a volunteer, participant, or host of a WICT event). Note - At least one reference/example of your involvement should be with the WICT Washington, DC/Baltimore Chapter. *

Leadership Challenges: Applicant should identify 2-3 areas of leadership focus or skills that you would like to focus and build on. *

Please describe how the EDS experience will support your leadership development in 500 characters or less. *

References: Please provide contact information for two different references. One reference should be able to speak to how the EDS experience will support your development goals.

The second reference should be a direct Supervisor, member of your HR department who can confirm the company's support of your participation in EDS. (For those in transition, please provide a second recommendation). *Please include Name, Title, Company, Email, and Phone for both of your references in the field below*

EDS Scholarship Awardees will be required to supply a WICT Chapter newsletter entry describing their experience and any critical takeaways. If you are awarded the EDS Scholarship are you willing to provide a newsletter article? *

Yes

Please confirm that you have not applied for the program as you will not be eligible to apply for a scholarship if you have previously registered on your own. *

I have not yet applied for the program.

I am already registered for the program.

Please provide your digital signature below confirming the truthfulness of the information provided in this application as well your acknowledgment of the terms provided in the application. *

Please provide the date signature was provided. *

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