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HACU'S LA ACADEMIA DE LIDERAZGO (THE LEADERSHIP ACADEMY)

APPLICATION FOR ADMISSION/NOMINATION FORM

Please answer all application questions and submit all required materials for review by the Selection Committee.

You may complete this application for yourself or nominate someone else. Applications can be submitted online, or you can print the application form and complete it by hand. (Please type or print legibly.)

I certify that all the information and accompanying materials provided in connection with this application are authentic and accurate.

Required field(s) are indicated by an *.


I. GENERAL INFORMATION
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DEFINITIONS
*Hispanic-Serving Institution (HSI) – a nonprofit, accredited college, university, or system/district in the U.S. or Puerto Rico, where total Hispanic enrollment constitutes a minimum of 25% of the total enrollment at the undergraduate or graduate level.
*Emerging HSI – a nonprofit, accredited college, university, or system/district in the U.S. or Puerto Rico, where total Hispanic enrollment constitutes at least 10% of the total enrollment, or where a minimum of 1,000 Hispanic students are enrolled at the undergraduate or graduate level.


II. EDUCATION
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III. WORK EXPERIENCE
List your or the nominee’s positions in reverse chronological order, starting with the current or most recent one. If all positions are in the same higher education institution, please give the major promotional sequence.
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5. PLEASE ESTIMATE TOTAL YEARS OF PROFESSIONAL EXPERIENCE:
6. PLEASE UPLOAD A COPY OF YOUR (OR THE NOMINEE'S) CURRICULUM VITAE.
7. Describe your (or the Nominee’s) current responsibilities, including level in the organization.
8. Explain the objectives and goals as they relate to you (or the Nominee) attending this program. Also describe what you think other program participants may learn from your (or the Nominee’s) participation in this academy (e.g., perspectives, skills, expertise).
9. What do you anticipate are the next steps in your (or the Nominee’s) career progression to a presidential position?
10. How would you characterize your (or the Nominee’s) leadership strengths and weaknesses? Provide examples as appropriate.
11. What are the most formidable challenges facing college presidents today?

IV. LETTERS OF REFERENCE INFORMATION
HACU’s La Academia de Liderazgo requires that two letters of reference be completed by a senior executive or board member within the institution, or a colleague or former supervisor familiar with the candidate’s character, role, and responsibilities, who can provide a detailed firsthand account of the applicant’s leadership potential, skills and abilities.

FIRST REFERENCE:

V. BILLING INFORMATION
Tuition is $10,000 per selected participant and covers all program materials, HACU conference registrations and selected meals. An invoice will be emailed to the individual indicated below.