Deadline for Receipt of All Materials Is 3:00 P

Deadline for Receipt of All Materials Is 3:00 P

2018 Rising Leaders Program Application

Deadlines:

Corporate Approval and Payment Information form is due by1:00pm(Eastern), November 1, 2017.

Online application should be submitted no later than 1:00 pm (Eastern), November 15, 2017.

  • Don’t wait until the last minute! Be thoughtful and thorough in your application—it greatly betters your chances of being selected for this highly competitive program.
  • WICT strongly suggests having someone else review your application before final submittal.
  • All applications must be submitted via our online system. Please note that you must use Internet Explorer to complete the application. If you are using Internet Explorer 8, check to ensure that “compatibility view” is on (Go to the Tools menu, then select Compatibility View Settings, and then add
  • Prior to accessing the online application, complete and save your application as a separate document, then copy and paste your answers online. Do not use bullets, italics or other formatting when pasting into the online application. You will receive an email confirmation when your application has been received by WICT. (Be aware that the system will log you out after 30 minutes of inactivity and your work may not be saved).
  • Pay careful attention to the character limits for each question.If you exceed the character limit, you will receive an error message when you try to submit online.
  • You may save your online application at any time by clicking the “Save” button at the bottom of the screen. To re-access and complete your application, please go back to the WICT website and click the link to apply online again - this will bring you back to your saved application.
  • Have the Corporate Approval and Payment Information form with your Human Resources representative’s signature completed separately, and send to the WICT office. This application is being accepted based on your current employment. Please notify WICT immediately if there is a change to your employment status.
  • Submit the non-refundable application fee of $175 online with your application.
  • No additional supplemental documents will be accepted.

Note: All applications must be completed online. This form is only meant to assist you in creating a draft.

Name:
Title:
Company:
Company Address:
Company City: / State: / Zip:
Business Phone: / Fax:
Email:
Alternate Email:

Note: All applications must be completed online. This form is only meant to assist you in creating a draft.

I.Summarize your background resume, including information on your educational background.(7,000 character limit)

II.Provide a list of business responsibilities that have contributed to your leadership development. Include titles and accomplishments.(7,000 character limit)

III.Provide a list of community/volunteer activities that have contributed to your leadership development. Include titles and accomplishments.(7,000 character limit)

IV.Please provide a 250 word description of how attending the Rising Leaders Program would benefit you and your company.

V.Please provide a 250 word description defining your current leadership style and your expectations of how your style might be enhanced by your participation in the Rising Leaders Program.

VI.Have you ever applied for the Rising Leaders Program before? If yes, when?

About You (optional)

  1. Ethnicity (select one):

2018 Rising Leaders Program Application

  1. African American
  2. Asian
  3. Caucasian
  4. Hispanic/Latino
  5. Other

2018 Rising Leaders Program Application

  1. Age Range:

2018 Rising Leaders Program Application

  1. 18 – 24
  2. 25 – 34
  3. 35 – 44
  4. 45 – 54
  5. 55+

2018 Rising Leaders Program Application

  1. Highest Education Level:

2018 Rising Leaders Program Application

  1. High School
  2. Associate Degree
  3. Bachelor’s Degree
  4. Master’s Degree
  5. Doctorate
  6. Juris Doctorate

2018 Rising Leaders Program Application

All materials must be received at the WICT office byNovember 15, 2017, 1:00pm (Eastern).

Complete main application online.

The Human Resources Approval Form can be submitted three ways:

  • Email: Megan Marksberry,
  • Mail: RLP - Women in Cable Telecommunications | 2000 K Street, NW, Suite 350 | Washington, DC 20006
  • Fax: 202-450-5596

For application questions,contact Megan Marksberry at 202-827-4789.

Cancellation and Refund

Due to the nature of the program, once a selected applicant has accepted a seat in the program there is no refund of the registration fee available should she need to cancel her participation.