New/Aspiring Registration 
Complete this form if you are interested in a leadership position or are new to your leadership position.
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Name *
Email *
Cell Phone Number *
School/District  *
County of your School/District *
Approximately how many students are in your district? *
What is your current role? *
Where is your leadership position or where are you interested in obtaining a leadership position? (check all that apply) *
Required
Describe the leadership position(s) you have or aspire to. Include number of years if you are currently in a leadership position. *
What qualities, skills, or other attributes do you feel you have that make you/will make you a strong leader?

 *
How do you see your participation in this program supporting your leadership aspirations?

 *
If selected for the Leadership Circle, will you commit to the following:

- a Google Meet in the Fall to connect with the Experienced Leader(s) in your Circle
- attend the Leadership Circle session at the Annual Conference (this year in Albany, November 6) 
- meet every other month with your Circle members
- 1-2 Google Meets in the Spring with the entire network to discuss issues each individual Circle is facing

 *
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