Name _______________________________________ PeopleSoft ID____________________________ Position _____________________________________ E-mail address___________________________
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Name _______________________________________ PeopleSoft ID____________________________ Position _____________________________________ E-mail address___________________________ Supervisor’s Name_____________________________ Department_____________________________ How many years have you been a supervisor? ___________ How would your participation in Emerging Excellence benefit your department and the university? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What strengths do you believe you will bring to the program to share with your peers? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What challenges and/or competencies would you seek to address while participating in the program? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ How have you exhibited leadership in your department and beyond? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _________________________________ Applicant Signature _______________________________ Supervisor Signature Please send your application to smatthews4@uh.edu Thank you for your interest in Emerging Excellence!
