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Leadership Collective
Leadership Development Academy Application
"
*
" indicates required fields
Step
1
of
8
12%
Personal Information
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Business Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Direct/Office Phone
*
Mobile Phone
By providing, you agree to receiving text messages from ISA for the purposes of the Leadership Development Academy. Check with your carrier for rates and charges that may apply.
Email
*
Current Employer
*
Current Position/Title
*
Goals and Objectives
What are your objectives for attendance in the Academy?
*
What are your career goals?
*
Why do you feel that you're a good candidate for the academy?
*
Conditions of Application
Acceptance of Terms
*
I Accept
By choosing "I Accept," you are acknowledging that you have read, understood, and you accept the following conditions. (1.) By signing this document, I agree to the conditions set forth by this program. (2.) The ISA LDA fees, rules and procedures have been provided to me. ISA LDA fees, policies and procedures are subject to change without notice. Such changes, along with dates for their implementation will be posted on the website as early as possible. (3.) On a prescribed date, or upon publication of a new version of any program description, form, policy, procedure, or fee, all previous versions are considered obsolete. The effective date for each will be printed on the appropriate document. (4.) The ISA and the ISA LDA logo are sole property of ISA and may not be used without written permission. (5.) Each applicant is responsible for informing ISA of any address or change in contact information in a timely manner to receive correspondence. (6.) ISA LDA graduation does not constitute a license to practice engineering or construction. (7.) I commit to attending all classes and understand that I may be disqualified for attendance issues. (8.) I understand that the academy is for educational purposes only and that ISA, the instructors, and/or anyone else affiliated with the class is not responsible for your company’s success and/or business practices.
Work History
What is a “position?” Every time your employer or job title changes, you have a new position. What is “responsibility?” Each position carries with it several areas of responsibility. All responsibilities should be listed, whether or not they are directly related to the construction field. Provide the details of what kind of work you are actually doing to fulfill each area of responsibility. What types of systems/structures/materials do you work with and what do you do with each? What work teams are you part of and what is your role in each? What percentage of time is allocated to each responsibility? Applicants must complete one form for each employer.
Current Employer
*
Current Job Title
*
Current Supervisor
*
Start date in this position
*
Month
Day
Year
Current Responsibilities
*
List below your major responsibilities in this position and a detailed description of each. Click the (+) to add more lines.
Job Responsibility
Description
Percentage of Time
Add
Remove
2nd Most Recent Position
Employer
Job Title
Supervisor
Start date in this position
Month
Day
Year
End date in this position
Month
Day
Year
Responsibilities
List below your major responsibilities in this position and a detailed description of each. Click the (+) to add more lines.
Job Responsibility
Description
Percentage of Time
Add
Remove
3rd Most Recent Position
Please leave blank if you've only had two positions.
Employer
Job Title
Supervisor
Start date in this position
Month
Day
Year
End date in this position
Month
Day
Year
Responsibilities
List below your major responsibilities in this position and a detailed description of each. Click the (+) to add more lines.
Job Responsibility
Description
Percentage of Time
Add
Remove
4th Most Recent Position
Please leave this page blank if you have few positions.
Employer
Job Title
Supervisor
Start date in this position
Month
Day
Year
End date in this position
Month
Day
Year
Responsibilities
List below your major responsibilities in this position and a detailed description of each. Click the (+) to add more lines.
Job Responsibility
Description
Percentage of Time
Add
Remove
5th Most Recent Position
Please leave this page blank if you have fewer positions.
Employer
Job Title
Supervisor
Start date in this position
Month
Day
Year
End date in this position
Month
Day
Year
Responsibilities
List below your major responsibilities in this position and a detailed description of each. Click the (+) to add more lines.
Job Responsibility
Description
Percentage of Time
Add
Remove
Employer Endorsement
An endorsement of your application must be completed by a senior level executive within your firm. The endorser will serve as the corporate mentor during the academy. The endorsement is used to evaluate the overall competence and professional character of the applicant. Please complete the following fields of the person endorsing you as a candidate for the Leadership Development Academy. Upon submission of your application, this person will receive a confirmation that your application has been submitted along with instructions on completing their portion of the application.
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Position in Company
*
Direct/Office Phone
*
Email
*
Important: this is the email address we'll use to contact your endorser to provide their information.
Non-refundable application fee. This fee will be deducted from your overall cost to attend if you are accepted.
Price:
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Credit Card Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
This is the End!
Thank you for taking the time to complete an application for the Leadership Development Academy! When you click Submit, you and your endorser will receive a confirmation email with next steps. Applications will be reviewed in October and applicants will be notified of their status by November 10.
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