Global Leadership Institute - Application
An intensive, 8-day interactive workshop to gain skills and resources, and build networks to better support your global education and diversity-related work; designed for international education, student affairs, education abroad, faculty development, and diversity and social justice program professionals. Workshops are paired with cultural immersion activities with a focus on building community as well as personal and professional development.
First Name
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Last Name
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Email Address
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Cell Phone Number
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Mailing Address
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Institution/Organization
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Position Title
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Level of experience
Have you ever visited New Zealand?
What is your country of citizenship?
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Please provide your birthday (day/month/year) so that we may purchase travel insurance on your behalf.
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Do you hold a valid passport until June 2019
Please list an Emergency Contact (First Name, Last Name, Phone Number, Email Address)
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Please write a brief essay describing your interest in the program, what you hope to gain, and how you believe you would contribute to the learning experience for the other group participants (300 words max)
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Additional Excursion (at your own cost). For more information visit http://globalinstitute.diversitynetwork.org/new-zealand/excursions/
How did you hear about this opportunity?
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Terms and Conditions
Please carefully review the terms and conditions outlined here:
http://globalinstitute.diversitynetwork.org/new-zealand/cost/
I understand and agree to comply with all stated terms and conditions set forth in this form
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