Leadership Matters Nomination Form 2014 Docx
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Transcript of Leadership Matters Nomination Form 2014 Docx
Leadership MattersSM
Image. Power. Influence for Women.
NOMINATION FORM
Self nominations are permitted
Leadership Matters is a transformational program that develops image, influence and power among women leaders, by delivering knowledge with mentoring support. In building upon these strengths, program graduates will grow their companies, improve their organizations and better their communities.
How it works: Leadership Matters focuses on accountability, mentoring and personal development skills for women business owners
and key management members from women-owned businesses, local corporations and not-for-profit organizations.
Participants attend seven workshops facilitated by a Davis College of Business professor over a three to four month period for either the spring or fall session(s). Specific session dates are published on the Curriculum Summary. Each enrollee is assigned a mentor to assist with specific developmental needs. Program participants also prepare a personal development plan and receive a certificate upon completion of the program.
Criteria for Selection: Desire to grow leadership skills
Potential to effect change in your organization and the community
Demonstrated leadership in community or professional activities
PLEASE PRINT CLEARLY: Name of nominee: ______________________________________________________________________ Business/Organization:__________________________________________________________________ Address:_______________________________________City:___________________Zip Code:________ Phone:______________________ Email address:_____________________________________________ Name of Person making this Nomination (if different):_________________________________________ Business or Organization Affiliation:________________________________________________________ Contact Information: Phone:___________________ Email Address:______________________________ Please write no more than two paragraphs explaining why you/your candidate should be considered for
participation in Leadership Matters SM
.___________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
Nominees will be asked to submit an application which is reviewed by a participant selection committee. Program cost is $750 for JAX Chamber members; $850 for non-members.
Please return this form via FAX, US mail or Email on or before July 31, 2014 to: Pat Blanchard, Director, Jacksonville Women’s Business Center 3 Independent Drive, Jacksonville, FL 32202 Phone: (904) 366-6640; Fax: (904) 632-0617 E-mail: [email protected]