2023 VCU Leadership Development Program Application

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2023 VCU Leadership Development Program Application

Thank you for applying to the VCU Leadership Development Program. The application will ask for different types of information, including your thoughts about an ideal mentor. Additionally, you will be asked to identify three references and upload documents, including a personal statement, biosketch, CV/resume, and current position description. You can close out and comeback to the form and your data will be saved.

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First Name

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Preferred Name(s)

Last Name

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Pronouns (?)

VCU Box Number

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Home Street Address
(include city, state, zip code)

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Preferred Phone Number

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Alternate Email (for alumni communications)

Organization

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To which Senior Vice President or Vice President does your division report (51% or more of your time)? (For example, Provost, VP for Strategic Enrollment, VP for Institutional Equity, Effectiveness, and Success)

Refer to this resource for the organizational structure

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In which major division of the university, do you work (51% or more of your time)? (For example, Academic Affairs, Enrollment Management & Student Success, Institutional Equity, Effectiveness and Success)

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Within this major division in what area do you work (51% or more of your time)? (For example, College of Humanities & Sciences, Enrollment Management, Institutional Equity, Effectiveness, and Success)

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Within this area, which unit do you work in (51% or more of your time)? (For example, Math Department, Student Financial Services, Equity, and Access Services)

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Professional Title

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Your position is best characterized as:

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Classified Staff

University & Academic Professional - Executive/Senior Administrator

University & Academic Professional - Academic Professional

University & Academic Professional - Affiliate/Adjunct Faculty

University & Academic Professional

Academic Administrator (with T&R faculty appointment)

Teaching & Research Faculty

Post-Doctoral

VCUHS Clinical Faculty

VCUHS Staff

VCUHS Director/Administrator

VCUHS Executive/Senior Administrator

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You are:

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Approximately how many people do you directly supervise?

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How long have you been employed by VCU or VCUHS?

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5 years or less

6 - 9 years

10 - 14 years

15 - 19 years

20 or more years

I am not employed by VCU or VCUHS

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What range best describes your age?

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20 - 29 years old

30 - 39 years old

40 - 49 years old

50 - 59 years old

60 - 69 years old

70 or older

I prefer not to say

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Which category(ies) describe(s) your race/ethnicity best? (Choose as many as apply)

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White (non-hispanic, spanish, latinx origin)

Hispanic and/or Spanish origin

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Other race, ethnicity, or origin not mentioned

If other, please specify:

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What word(s) do you use to describe your gender

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What is the highest educational degree/certificate you have obtained?

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If other, please specify:

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In a word or simple phrase, the one thing that I most need from a mentor:

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Many things motivate me, but my top three are:

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If you serve as my mentor, you can realistically expect me to:

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The following professional goals are important to me:

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I have the following professional strengths to help me achieve my goals:

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I could use improvement in the following areas to help me achieve my goals:

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Coaches (and teammates) can support my work performance and progress toward my goals in the following ways:

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Required Supplemental Information
A completed application must include the following supplemental documents:

Current position description (200 words or less)
Personal Statement (700 words or less)
Biosketch (100 words or less)
Curriculum Vitae/Resume

You may save your application progress and return at any time (make sure to note the return code generated by the system). We recommend copy/pasting the questions into a word document for your convenience. Please note that missing components of the supplemental information and/or failure to answer the questions in the specified word limits may result in a delay of the processing of your application.

Current Position Description (Limit: 200 words or less)
Describe your responsibilities in your current position. Focus on the activities, operations, or functions for which you are directly responsible.

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Professional Biosketch (limit 100 words)
Refer to this resource for how to write a professional biosketch

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Personal Statement (Limit: 700 words or less)

Responses to the following personal statement questions are used to help us learn more about you and as a part of the mentor matching process. Please provide a short essay responding to the following prompts (Limit - 250 words per question). We recommend copy/pasting the questions from a word document for your convenience.

1. Why are you applying for this development opportunity? What professional goals do you have for your leadership development during your participation in the program?

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2. What path would you like your career to take? How do you see your experience with the program fitting in to your long-term career goals?

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3. Describe a professional situation in which you took a leadership role. In what ways were you effective? In what ways were you not effective? What did you learn from this experience?

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4. How does your leadership role fit in to the larger context of VCU? In what ways can you envision yourself expanding your professional contribution to VCU?

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Upload CV/Resume

Upload file as word (doc/docx) or pdf with the file name: Last Name_VCUL2023_CV/Resume

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Upload file

References
Three letters of reference from the following sources are required for your application:

your dean or vice president
your direct supervisor
a colleague or leader who can comment on your current responsibilities, leadership skills, and career development

If your direct supervisor is also your dean or vice president, please submit two references from colleagues or other university leaders along with the recommendation from your dean/vice president.

Please share this link with your professional references: https://redcap.vcu.edu/surveys/?s=DRTLYJPLJRL7REN9

Reference #1

First Name		Last Name
Title		Email
This reference is:		Organization

If other, please specify:

Major Unit

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Major Unit

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Major Unit

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Major Unit

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Major Unit

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Department/Center in College of H&S

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Reference #2

First Name		Last Name
Title		Email
This reference is:		Organization

If other, please specify:

Major Unit

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Major Unit

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Major Unit

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Major Unit

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Major Unit

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Department/Center in College of H&S

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Reference #3

First Name		Last Name
Title		Email
This reference is:		Organization

If other, please specify:

Major Unit

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Major Unit

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Major Unit

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Major Unit

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Major Unit

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Department/Center in College of H&S

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This application must be complete and include the following supplemental documents by October 15, 2022 in order for your application to be considered for acceptance into the program:

*All applicants must submit three references and ensure completed references are submitted using the appropriate reference form. If you are supervised directly by your dean/vice president, then submit one letter from that person and two from other colleagues/university leaders.

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.