ESSAE - Association Leadership Academy

Registration Form

Full Name:*
Title:
Organization:
Address:*
City/State/Zip:*
Telephone:*
Fax:
Email:

Applicant Criteria
Please enclose a copy of your most recent resume. Please answer the following questions:
How many people are employed by your association?
How many people do you supervise?
How large is your association's annual operating budget?
What do you hope to gain from your involvement in the Association Leadership Academy?
Explain one professional goal you would like to attain the next five years:

Payment Method* (Check payable to ESSAE)
$595.00 ESSAE Member $1190.00 Non-Member
You are registering for the ESSAE Association Leadership Academy and agree to pay the stated fees. Cancellations more than 10 business days prior to the start of the program will be refunded. Any cancellations received within ten business days of the start of the program will not be refunded. Replacements will be considered.

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