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Leadership development program application

To apply, print and return this application as directed

06/20/07

Xavier University
Leadership Development Program
Application

Name: __________________________________________________________________

Title: ___________________________________________________________________

Department: _____________________________________________________________

Supervisor: ______________________________________________________________

Date of Employment at Xavier University: ____________________________________

Please attach the following: 1. A statement of why you would like to participate in the Leadership Development Program and how you believe the program will help you in your work at Xavier. 2. A letter of recommendation from your current supervisor.

In order to be considered for the fall 2007 cohort group your completed materials must be received by Connie Perme (ML 4641) by Wednesday, August 1, 2007.