The Women Leaders Program | Center for Leadership | Florida International University | FIU
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The Women Leaders Program

Thank you for your interest in The Women Leaders Program. Please complete the form below to submit your application for this program. Please allow two business days for our team to review your application and get back to you.

Before applying, please review our registration and refund policy here. 

Not sure if this program is the right fit for you or want more information before applying? Contact a member of our team or view our other program options.

Application Form

* = Required Field

Mailing Address

Please provide an address where you can receive mail and packages related to your participation in this program. We recommend providing your home address.

Personal Information

* Highest Level of Education * FIU Alumni

Emergency Contact Information

Your Experience

* What function best describes your current position? * Time in Current Role (in years) * Duration with Current Employer (in years) * Total Years of Work Experience Total Years in a Supervisory/Leadership Role * How many people do you directly supervise? How many people do you indirectly supervise? * How many reporting levels are above you? * Job Title of Your Supervisor * Annual Compensation (in USD) * Annual Budget in Your Control (in USD) Areas of Expertise

Assistant Contact Information

Assistant Name Assistant Email Assistant Phone

Company Information

Your Division/Department Parent Organization (if applicable) Type of Organization

Company Mailing Address

Please provide the mailing address for you to receive mail at your company.

* City * State/Province * Zip Code * Country

Previous Leadership Program Attended

Program Attended Hosted By Year Completed

Additional Information

Additional Information regarding the Center for Leadership program for which you are currently applying.

Did your organization recommend you?Who is paying for your tuition? Why did you choose the Center for Leadership at FIU? Discount Code

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