US West Regional Leadership Academy 2020

Please allow at least 20 minutes to complete this application. Please note that a select number of seats are reserved for member leaders from outside US West. This application must be submitted by December 9, 2019.

Name *
Email *
EO Chapter *
Please upload a headshot *

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Please confirm that you have served in one of the following roles:
-Chapter Board Member
-Regional Council Member
-Global Committee Member
-Expert *
Yes I have served in one of the above roles
The Regional Leadership Academy content is presented entirely in English. Please confirm that you are comfortable speaking and understanding English. (Japanese translation might be provided, but is not guaranteed) *
Yes, I am comfortable speaking and understanding English
Please verify that you understand the following information:
-The program runs from March 2- March 6 2019 (March 2 is arrivals day) and you are required to stay for the entire program. All flights on March 2 must arrive before 4pm and all flights on March 6 must leave after 6pm.
-The program fee is $2395 USD this only includes registration fee and does not include hotel accommodation or travel expenses.
-Attendees must register within a week of being accepted, no exceptions.
-Attendees must participate for the entire duration of the program, which has a rigorous schedule (6am-11pm daily). There is no option to opt-out of any part of the program. All attendees are required to stay at the designated program hotel(s) and no additional guests/companions are permitted.
*The program fee is $2395 USD; this includes the registration fee, all program activities, local transportation, and most meals. It does not include hotel accommodation, air travel expenses nor any accommodations you may require before or after the program. *
I understand all the costs and deadlines associated with this program.
EO Membership and Leadership

Year joined EO *

EO Resume
-Please list any leadership roles you have held in EO
-Begin with the most recent/current position and list one role on each line
-i.e. 2016/17: Forum Chair (EO Malaysia) *

List and describe three (3) EO Leadership Accomplishments that you are most proud of. *

What would you consider your most significant EO leadership failure? *

What does "leading in diversity" mean to you? How is this term relevant to leadership in EO? *

US West Regional Leadership Academy 2020

US West Regional Leadership Academy 2020

EO Membership and Leadership