Leadership Center Interest Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Company/Organization* This field is required.

4

Please indicate your reason for submission:* This field is required.

My own development - I am interested in staying in the know about programs, applications, and deadlines for myself

Human Resources/Talent Acquisition/Development professional - I am interested in staying in the know about programs, applications, and deadlines for my organization's employees

5

Job Title* This field is required.

7

Are you an intern or do you manage interns?* This field is required.

YESNO

8

Would you be interested in learning more about CINC: Cincinnati Intern Network Connection?

YESNO

10

Briefly describe why you are interested in applying to this Leadership Center program.* This field is required.