2023 Leadership Academy Letter of Nomination

2023 Leadership Academy
Letter of Nomination
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Name of Nominee *
Your Name
Your Relationship to Nominee
Your Position
Your ISU Extension and Outreach Unit or County
Your Email *
example@example.com
Your Phone Number

Area Code Phone Number
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
This institution is an equal opportunity provider. For the full non-discrimination statement or accommodation inquiries, go to www.extension.iastate.edu/diversity/ext.
Supervisor has read the required documents and acknowledges that nominee must fully participate in the Leadership Academy if chosen. Participation includes 4 in-person sessions throughout the year, in addition to virtual meetings and outside assignments. Supervisor acknowledges that nominee's failure to complete each in-person session, as well as blended learning expectations could result in financial reimbursement to the professional development unit by the individual or respective department.
Supervisor Signature

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