2017-18Participant Nomination Form (Sponsor S Interest)

2017-18Participant Nomination Form (Sponsor S Interest)

2017-18Participant Nomination Form (Sponsor’s Interest)

Please send the completed 2-page form to by October 1, 2016.

Sponsor Name (Page Member):

Sponsor Company:

Phone: E-mail:

□ I would like to nominate1-2 individuals from my organization to participate in the Future Leaders Experience.(Please complete aseparate nomination form on p.2 for each applicant.)

□ I recognize that attendance to all six sessions is essential for the participant, as well asher/his classmates, to achieve the full benefits of the program. In cases where work schedules conflict, I will do my best to prioritize the applicant’sattendance at Future Leaders events.

Page Member’s Signature Date

About the 2017-18 Sessions

Participants in this unique program meet six times over two years for extended learning sessions. Each session spans three days and focuses on a topic relevant to corporate communications and Page Society thought leadership. Sessions are held in a different city in the U.S. about every four months—typically in February, June and October.

The Page Society is in the process of developing the curriculum for the 2017-18 program. Past sessions have focused on the following themes:

Arthur W. Page Society 230 Park Ave., Suite 455 New York, NY 10169

Tel: 212-400-7959 Fax: 347-474-7399 E-mail:

  • Leadership
  • Social Media & Digital Engagement
  • Business Acumen
  • Corporate Character & Values
  • Generating Advocacy at Scale
  • Stakeholder Relationships
  • Building Shared Belief
  • The Future of the CCO

Arthur W. Page Society 230 Park Ave., Suite 455 New York, NY 10169

Tel: 212-400-7959 Fax: 347-474-7399 E-mail:

Fees
1 Participant / $15,000 / 2 Participants / $25,000
Included
in the cost / ● Session content and materials for all six sessions
● Venue space and equipment needed on-site (excludes personal computers)
● All food and beverages consumed on-site (including cocktail receptions)
● Experiences, such as special tours and performances
● All on-site transportation during the program
Not included / Participants are expected to arrange and cover the costs of their own travel to and from the venue site, as well as their hotel/accommodations. (Page Society staff will arrange a hotel block with a favorable rate and notify participants prior to each session.)

2017-18Participant Nomination Form (Applicant Information)

Participant Name

Title

Does the nominee report directly to a Page member?

□Yes

□No, but the participant is a high-performing member of the team who may one day take on the chief communications officer role. (Please specify reporting relationship below.)

Please describe why this nominee should be admitted to the Future Leaders Experience. Please include a copy of the most recent biography for the nominee in the nominee.

Arthur W. Page Society 230 Park Ave., Suite 455 New York, NY 10169

Tel: 212-400-7959 Fax: 347-474-7399 E-mail:

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