Bootcamp Application 07-08

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					                              Women’s Leadership Boot Camp
                                       2007-2008
General Information
          Registration forms and supporting materials will be accepted until the class is full or no later
           than July 16, 2007. The class size is limited to 50 participants. Registrations will be
           accepted on a first-come, first-served basis.

             For the benefit of the class, it is important that each registrant meet the participation
              criteria. If, after review of the registration form, it is determined that a participant does not
              meet the criteria, the participant will be notified by August 1 and the deposit will be
              refunded.

             Women’s Leadership Boot Camp meets for one-half day per month for 9 months.
              Participants are expected to attend all sessions. If you will be absent for more than one
              session, please do not register.

Tuition Information
            Tuition for the Women’s Leadership Boot Camp is $2,000, which includes all program
             supplies and lunch and beverages at each session.

               A $500 non-refundable deposit is due with your registration form. A registration will not
                be considered complete until the deposit is received. Checks should be made payable to
                YWCA Greater Cleveland.

               The balance is due by September 1, 2007. An invoice will be mailed by August 1. You
                may send the entire $2,000 tuition fee at the time of registration.

Scholarship Information
            A limited number of scholarships are available to women who represent non-profit
             organizations. To apply for the scholarship, complete the one-page scholarship
             application attached to the registration form. A registration deposit is not required for
             scholarship applicants.

Participant Criteria
            Participants must have at least two years of post-undergraduate career experience and
             not more than ten years.

               Participants should have recently transitioned from an individual contributor role to a
                management/supervisory role or be preparing to assume a management/supervisory role
                soon.

               Participants should be “rising stars” in their organizations who are being groomed for
                management roles or increasing levels of responsibility.

               It is highly recommended that participants discuss this opportunity with their supervisor
                prior to registering. Each participant’s supervisor must complete a supervisor
                recommendation form by September 1, 2007. If a signed supervisor/sponsor
                recommendation form is not received by September 1, the participant will not be eligible
                to participate in the program and the deposit will be forfeited.

                              Questions? Call the YWCA at 216-881-6878.
                       Women’s Leadership Boot Camp
                            Registration Form

Name:
Title:
Company/Organization:

# of years of career experience:              Years         Months
# of years of management experience:          Years         Months

Please describe your place in the organizational or departmental chart:




Age: (optional)               Under 30          30-39                  Over 40

Race/Ethnicity (optional):           African-American       Hispanic
                                     Caucasian/White        Asian-American
                                     Other                  Multi-racial
Business Contact Information:
Address:
City, State, Zip:
Phone:                                       Fax:
Email:

Home Contact Information:
Address:
City, State, Zip:
Phone:                                       Fax:
Email:

Preferred Point of Contact:          Work                   Home

I heard about Boot Camp from: ____________________________________________
Why do you want to participate in the Leadership Boot Camp?




What specifically do you hope to gain from participation in the Leadership Boot Camp?




        My resume is attached/enclosed. (required)

        A $500 non-refundable deposit  is enclosed with this registration form OR  will be mailed
         separately. (check one) I understand that this deposit is non-refundable and that my registration
         will not be complete until the deposit is received. Total amount enclosed: $_______

        My supervisor/sponsor recommendation form is  attached/enclosed OR  will be submitted by
         September 1, 2007. (check one) I understand that this form is required and if not submitted by
         September 1, my deposit will be forfeited.

        My ability to participate in the Women’s Leadership Boot Camp is dependent on scholarship
         assistance. (For women in non-profit organizations only. Attach scholarship application with
         registration form.)

        I understand that if I voluntarily withdraw from the program or am dismissed for attendance or
         other reasons, no part of the tuition will be refunded. (Required for all registrants.)



Applicant’s Signature                                   Date
(Typewritten accepted for electronic registrations.)

                                           Attn: Leadership Boot Camp
                                            YWCA Greater Cleveland
                                              4019 Prospect Avenue
                                               Cleveland, OH 44103
                                                Fax: 216-881-9922
                                     Email: gcheverine@ywcaofcleveland.org

                                 Questions? Call the YWCA at 216-881-6878.
                         Women’s Leadership Boot Camp
                            Scholarship Application
       Required only if you are seeking scholarship assistance. Submit with your registration form.


General Information:

               Scholarship recipients must meet participant criteria and submit registration form prior to
                July 16, 2007.

               Scholarship recipients are expected to attend all 9 sessions. If scholarship recipient is
                absent for two or more sessions, your scholarship will be forfeited and you will be
                expected to reimburse the YWCA and Corporate College the full amount of the
                scholarship.

               Scholarship recipients must be employed by a non-profit organization.

               Applicants will be notified by August 1, 2007.

               Only partial scholarships will be awarded.




Name:

Amount your employer can contribute towards tuition:              $___________

Amount you can personally contribute towards tuition:             $___________

Amount of scholarship requested:                                  $___________


                                                 TOTAL:           $       2,000


The YWCA and Corporate College will receive applications for more scholarships than
we will be able to award. Help us understand why we should select you to receive a
partial scholarship for this program?
                   Supervisor/Sponsor Recommendation Form
       Participants’ supervisors must complete this form prior to September 1, 2007.
                   This form may be submitted at the time of registration.

Participant’s Name:
Supervisor’s Name:
Supervisor’s Title
Address:
City, Zip:
Phone:                                                           Fax:
Email:

What do you want the nominee to gain from the Leadership Bootcamp experience?




Expectations of Supervisor/Sponsor if your Nominee is Selected:

        Approve participant’s time out of the office for scheduled group activities.

        Complete skills assessment for participant.

        Consult with participant on work-related projects that enable participant to apply leadership skills
         to current position. It is recommended that you schedule a monthly meeting with the participant
         after each Boot Camp session to review learnings and discuss applications in your organization.

        Attend program kick-off on Friday, September 14, 2007 from 9:00 – 11:00 a.m. and a program
         closing on May 14, 2008 from 3:30 – 5:00 p.m.

        Supervisor understands that if the participant voluntarily withdraws or is dismissed from the
         program for attendance or other reasons, no part of the program fee will be refunded.




Supervisor/Sponsor’s Signature                           Date

				
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