2018 ULDP Student Agreement Form

2018 ULDP Student Agreement Form

Utah Leadership Development Program

(ULDP)

U.S. Office of Personnel Management

Eastern Management Development Center

2018 ULDP Student Agreement Form

Please submit this form to o later than May 4, 2018. Once this form has been reviewed by OPM, you will be notified that you have been added to the class roster. Note: Registration and payment must occur prior to submission of this form to OPM.

Part 1: Student Agreement

I, ______(print/type name) am enrolled as a participant in the 2018 UtahLeadership Development Program (ULDP). As a ULDP participant, I agree to the following:

  • Attendance at Orientation is mandatory as it establishes the foundation of the 6-month program. If you are unable to attend the Orientation, please let us know immediately. A substitute from your organization may be considered.
  • I will attend each of the scheduled sessions during the course of the program. If I miss more than two scheduled session days during the program year, I understand that I will not receive a graduation certificate.
  • It is my responsibility to schedule coaching sessions with my assigned coach and to attend these sessions at the agreed upon time. I recognize that my coach is an independent contractor, has obligated this time in lieu of other commitments. For this reason, I will ensure that my coach is informed as far in advance as possible if I cannot attend the session as originally scheduled. I understand that I may have to forfeit this session if notification occurs less than 48 hours in advance.
  • To ensure my coaches are prepared for my coaching sessions and that those sessions are effective, I give OPM my consent to share the results of the assessments taken by me prior to the orientation (e.g. OPM Leadership 360, MBTI, etc.) with my assigned coach.

LAST NAME: FIRST NAME: M.I:

(This is the way your name will appear on your graduation certificate.)

Part 2: Participant’s Statement of Interest

  1. Explain how your agency will benefit from your participation in this program.
  1. Explain how you will benefit from your participation in this program.

Part 3: Supervisor Approvals

By signing this form, I agree that this employee is a high potential candidate for this program and I support his/her participation in this program.

Supervisor (1st Level): Phone: ()

Approval Digital Signature:______E-Mail:

Supervisor (2nd Level): Phone: ()

Approval Digital Signature:______E-Mail:

ULDP Participants’ supervisor(s): Research indicates that individuals who have the support of their supervisor when undertaking a developmental activity will more likely benefit from and be able to apply what they learn in the classroom setting. We will invite participant’s first-line supervisor to attend a two-hour, supervisors only, Orientation session on June 8, 2018

ULDP Student Agreement FormPage 1

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