UC Davis Health System Coro Leadership Academy Participant Application Deadline for Receipt of Application November 30, 2015, Noon (12:00 pm) Extended to December 11, 2015, Noon (12:00 pm) About the Program UCDHS has partnered with the Coro Center for Civic Leadership to build leadership excellence within our organization through their proprietary curriculum and teaching methodology. This program is designed to build collaborative and innovative results-oriented leadership skills. The Coro program incorporates a variety of activities including assessments, classroom instruction, panel presentations, individual development planning, group projects and reflective writing. The UC Davis Health System Coro Leadership Academy requires an investment from the employee, the department and the university. Participation at each of the eight sessions is mandatory, requiring the full support of the department/division. There are no make-up sessions. Sessions are held every other Tuesday from 10:00 am – 5:00 pm, except as noted: • • • • • • • • Session 1: January 26 (8:00 am – 5:00 pm) Session 2: February 9 Session 3: February 23 Session 4: March 8 Session 5: March 22 Session 6: April 5 Session 7: April 19 Session 8: May 3 (Class 10:00 am – 3:00 pm, Graduation 3:00 pm – 5:00 pm) Participant Eligibility Health System employees who meet the following criteria are eligible to apply for CORO: Minimum 2 years employment performing at or exceeds Meets Expectations, Career status Supervisor or Manager at the PSS Grade IV - MSP II level Strong supervisory skills and leadership potential Strong personal initiative and motivation Desire to make active and continued contributions to the UC Davis Health System Evidence of leadership experience or potential through meaningful involvement in our workplace Demonstrates intellectual curiosity, innovative thinking and creativity Works well with a diverse group of individuals HR Talent Management Page 1 of 3 UC Davis Health System Coro Leadership Academy Participant Application UCDHS Training & Development Additional Contact Details Ticon III, Room 2600 2730 Stockton Boulevard Sacramento CA 95817 Email HS-T-D@ucdavis.edu Office (916) 734-2676 Fax (916) 734-8697 Application Instructions Incomplete nominations cannot be considered and will be returned. Applications may be submitted in person, via email or fax to Training & Development by 12:00 p.m. on November 30, 2015, and must include the following items. Participant Application Resume or Work History Supervisor’s Statement of Support APPLICANT INFORMATION (PLEASE PRINT) Name Title Department Time in Present Position Length of UC Service Interoffice Mailing Address Contact Phone Email Address Applicant’s Supervisor Supervisor’s Phone Supervisor’s Email Number of employees I directly supervise Number of employees I indirectly supervise I do not supervise anyone HR Talent Management Page 2 of 3 UC Davis Health System Coro Leadership Academy Participant Application NARRATIVE QUESTIONS 1. Why are you interested in participating in the UC Davis Health System Coro Leadership Academy? 2. Please provide an example of a leadership moment or experience that demonstrates your current leadership skills. 3. What leadership skills would you like to develop/explore, and why? 4. Please describe how you would continue to develop your leadership skills after the CORO program ends. 5. How would your participation in this program benefit UC Davis? Signature Applicant HR Talent Management Date Page 3 of 3