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Women in Academic Leadership 2019 Application

Apply now for the Women in Academic Leadership five-day residential program of workshops and mentorship from Oct. 26 to 30 in Winnipeg.

Applicant Information
Title:*
Last Name:*
First (Given) Name:*
Middle Name(s):*
Preferred First Name:*
Date of Birth (yyyy-mm-dd):*
Email:*
Assistant’s Email address (if applicable):
Professional Information
Department (N/A if none):
Faculty (N/A if none):
Current Administrative Position:
Institution Name:
Institution Address:
City/Town:
Province:
Postal Code:
File Uploads (Required)
*Statement of Interest

  • Attach a copy of Statement of Interest addressing motivations for participation (1 page maximum)
  • (Required file format: PDF, not larger than 2 Megabytes.)

Letter of Institutional Recommendation

DownloadAttach a copy of Letter of Institutional Recommendation/Support. Use this attached sample letter as a template. Add your details and incorporate your institution’s letterhead.

  • Attach a copy of Letter of Institutional Recommendation/Support.
  • (Required file format: DOC, DOCX not larger than 2 Megabytes.)

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