Executive Education: Pathways to HR Executive Interest Form

Join our interest list for the next Pathways to HR Executive Program!

Submit your interest form today and start receiving emails about the next cohort
Name

First NameLast Name
Email
joebruin@ucla.edu
Phone Number

Area CodePhone Number
Title / Position
e.g. HR Representative
Company
e.g. David Geffen School of Medicine
LinkedIn Profile (url)
Do you work full-time for a government, non-profit, or education institution?
If you are planning on using a UC Recharge, please have your FAU and Finance Manager's information ready. We will ask for this information on a future page.
Upload your resume

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Accepted files: pdf, doc, docx Cancelof
Describe your current position and explain how completing this program will advance your career. (max 250 words)

0/250
How did you hear about this program?
If you selected 'other', please specify where you heard about this program.

UCLA Law Executive Education has the following Payment Plans Available:
- Payment Plan A (Early Registration)
  - Pay in full upon registering
- Payment Plan B (Early Registration)
  - Standard Rate: $1,000 at registration; $2,000 by March 1, 2027; $2,000 by May 1, 2027
  - Government, University, Non-Profit Rate: $1,000 at registration, $1,000 by March 1, 2027, $2,000 by May 1, 2027
- Payment Plan C: Tuition Reimbursement through Professional Development Sponsorship
  - Please upload an email or letter from your employer confirming they will cover the cost of the program, including any additional details required for their reimbursement process (i.e. payment limit, etc.)
  - To request reimbursement or sponsorship from your employer, you can download a copy of this template letter via DocuSign
- Payment Plan D: UC Department Recharge
  - Department will be billed the $4,000.00 cost of the program. Please have your finance manager's contact details, FAU, and email confirmation from your department confirming full coverage of the program.
Which Payment Plan will you utilitze?
Please upload an email confirmation that your employer has agreed to cover the cost of your program participation

Browse Files

Cancelof

UCLA Law Executive Education has the following Payment Plans Available:
- Payment Plan A (Early Registration)
  - Pay in full upon registering
- Payment Plan B (Early Registration)
  - Standard Rate: $1,000 at registration; $2,000 by March 1, 2027; $2,000 by May 1, 2027
  - Government, University, Non-Profit Rate: $1,000 at registration, $1,000 by March 1, 2027, $2,000 by May 1, 2027
- Payment Plan C: Tuition Reimbursement through Professional Development Sponsorship
  - Please upload an email or letter from your employer confirming they will cover the cost of the program, including any additional details required for their reimbursement process (i.e. payment limit, etc.)
  - To request reimbursement or sponsorship from your employer, you can download a copy of this template letter via DocuSign
- Payment Plan D: UC Department Recharge
  - Department will be billed the $4,000.00 cost of the program.
  - Please have your finance manager's contact details, FAU, and email confirmation from your department confirming full coverage of the program.
Which Payment Plan will you utilitze?
Please upload an email confirmation that your employer has agreed to cover the cost of your program participation

Browse Files

Cancelof
You indicated you are a UC Employee who will be paying via department recharge. Please provide all of the details below to ensure that we can debit your department. Please upload a PDF confirmation of your department's agreement as well.
Please list the University and Department for us to bill:
e.g. UCLA - Biology Department; UCR - Geosciences Department
Please list your finance managers name
e.g. Joe Bruin
Please list your finance managers email
e.g. joe.bruin@library.ucla.edu

The FAU is comprised of 8 fields totalling up to 32 characters. At the minimum, please enter in the Account and Fund Numbers. Please see below for an example FAU String.

Location

Account* (Needed)

Cost Center

Fund* (Needed)

Project Code

Sub

Object

Source

Character

Digits

Up to 2

Alpha-Numeric

Digits

Up to 6

Alpha-Numeric

2 Alpha-Numeric

Digits

Up to 6

Alpha-Numeric

e.g.

123456

e.g.

67890

e.g.

123ABC

e.g.

1234

e. g.

PRODEV

Please enter your FAU string here
e.g. 4-123456-1C-67890-123ABC-1D-1234-PRODEV
Please upload an email confirmation that your department has agreed to cover the cost of your program participation

Browse Files

Cancelof
Should be Empty:

Join our interest list for the next Pathways to HR Executive Program!