Charter School Leadership Institute Application

Deadline:  Friday, September 5, 2008.  Seats are limited.  Applications will be processed on a first-come, first-served basis, and preference will be given to applicants who register for ALL of the sessions.  There is no charge for the Hendrix College Charter School Leadership Institute.  This is made possible by a grant from the Arkansas Department of Education Charter School Office.

Date  
Name  
Mailing Address  
City  
State  
Zip Code  
Home Phone Number  
Cell Phone Number  
Work Phone Number  
Primary Email Address  
Secondary Email Address  
Employer  
Immediate Supervisor
(Name and Title)
 
Your Title/Position  
Number of Years in this Position  
Work Mailing Address  
City  
State  
Zip Code  

Leadership Positions
(Provide length of serivce for each position) 

   
Check all of the Hendrix College Charter School Leadership Sessions that you plan to attend:  
Why is it important for you to participate in the Hendrix College Charter School Leadership Institute?    
In your opinion, what is the overall purpose of the charter school movement in the US?    
What are your greatest leadership strengths? What are your areas of improvement?    

Would you be willing to attend a Friday night session if the Saturday session reached capacity?