Return to Program Homepage Executive Leadership Academy Agreement Form

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I accept participation in the 2016–2017 Executive Leadership Academy. I understand that I am required to participate in all activities, including two seminars, a Professional Experiential Plan (PEP), mentoring and executive coaching components, and other activities of the Academy. The first seminar begins at noon on Monday, July 11, 2016, and ends at noon on Wednesday, July 13, 2016. The second seminar begins with lunch on Monday, June 19, 2017, and end at noon on Wednesday, June 21, 2017.

Please submit this form by February 29, 2016. Contact Barbara Hetrick, CIC senior vice president, at or (202) 466 7230 if you have questions.

 Agreement Form