ISA Launch into Leadership Application - Indiana Subcontractors Association

Personal Information
Name*
Prefix First Last
Direct/Office Phone*
Mobile Phone*
By providing, you agree to receiving text messages from ISA for the purposes of the course. 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 program?*
What would you most like to achieve by taking this program?*
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 Launch into Leadership fees, rules and procedures have been provided to me. ISA Launch into Leadership 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 Launch into Leadership 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 Launch into Leadership completion 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 program 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 Roles and Responibilities*
Please describe below your current roles and responsibilities within your company.

2nd Most Recent Position
Employer
Job Title
Supervisor
Start date in this position
Month
Day
Year
End date in this position
Month
Day
Year
Roles and Responsibilities
Please describe your previous roles and responsibilities.

Employer Endorsement
An endorsement of your application must be completed by a decision maker within your firm. The endorser will serve as the corporate mentor during the program. The endorsement is used to evaluate the commitment by your firm to the program. Please complete the following fields of the person endorsing you as a candidate for the Launch into Leadership Program. 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*
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 Security Code Cardholder Name
Credit Card Billing Address
Street Address Address Line 2 City State ZIP Code
This is the End!
Thank you for taking the time to complete an application for Launch into Leadership! When you click Submit, you and your endorser will receive a confirmation email with next steps. Applications will be reviewed in mid-January and you will be notified by January 19th of your acceptance status.
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 5

Personal Information

Goals and Objectives

Conditions of Application

Work History

2nd Most Recent Position

Employer Endorsement

This is the End!