LEADERS INSTITUTE 2005
Tuition for one year’s participation in the Program
Institutional Member $1249
Non Member $1399
(includes $25 nonrefundable fee)
Focus Areas Include:
The Rapids of Change
Positive Power & Influence
Relationship Building
The Two Lives of Leadership
What IS This Thing Called Balance?
Tips from Enthusiastic Executives
Money Matters: Budget and Resource Development
The Essence of Leadership Styles and Strategies
Politics, Trust and Empowerment
Focus Your Mind by Moving Your Body
Perfect Projects & Meaningful Mentorship
T.E.A.M.: Together Everyone Achieves More
Transportation, Lodging and Meals (not included in tuition):
Participants are responsible for transportation, lodging, meals not included in the program,
and incidental costs. Lodging and travel details will be sent upon receipt of registration.
Timeframe: Monday beginning at 9:00 AM until Friday at 11:30 AM.
Participation includes:
Five-day, content-rich, experiential institute
All institute materials
Session breaks for 5 days
Lunches Monday, Tuesday and Thursday
Certification of completion
Periodic individualized consultation
Eligibility for advanced training
Consultant service for career advancement
Mentor and project guidance
T.E.A.M. Project Experience
One-year membership in AAWCC
3-month subscription: Women in Higher Education
Inclusion in requests from search firms for candidate recommendations
NILD Leaders
Eliminate barriers
Serve as role models
Challenge assumptions
Create pathways to solutions
Strive for professional and personal balance
NILD Leadership Premises
Leaders excel through collaborative, team efforts.
Many valuable leadership styles exist and can co-exist.
Leadership flourishes at every level within an organization.
Leaders are more effective when they support & encourage each other.
A balance of intellectual, physical, social & spiritual attributes creates authentic leaders.
National Institute for Leadership Development
1202 West Thomas Road, Phoenix, AZ 85013 602.285.7727 Fax: 602.285.7728
2005 NILD LEADERS Institute Registration Form
Name/Title: ________________________________________________________________________________________
Institution: _________________________________________________________________________________________
Address: ___________________________________________________________________________________________
City, State, Zip: _____________________________________________________________________________________
Phone: ___________________________________ E-Mail: _________________________________________________
A. Explain your purpose for attending and your contribution to the learning of others in the program.
B. As a participant in LEADERS, I will complete the following project within the next 12 months.
PROJECT TITLE: __________________________________________________________________________________
BRIEF DESCRIPTION OF PROJECT:
C. MENTOR
A mentor is an experienced and trusted teacher who facilitates a learning relationship.
Name of mentor: ________________________Mentor’s current position: _______________________________
Institution: _________________________________________________________________________________
Address: ___________________________________________________________________________________
Phone: ________________ E-mail address: _______________________________________________________
Mentor's years of administrative experience: ______________ State your reason for your mentor choice:
Confidentiality, integrity, trust, and open and honest communications are essential between mentor and applicant. We
have discussed this relationship and believe that we can work well together.
Applicant: ___________________________________ Mentor:
Applicant Signature Date
Mentor Signature
Date
Please circle your preferred location for your 2005 Leaders Institute attendance:
January 10-14
March 14-18
May 2-6
Phoenix, AZ
Ontario, CA
Phoenix, AZ
For Credit Card Payment:
Type of Card:
M/C
Visa
AMEX
Discover
Amount to be billed: ______________________________
Card Number: __________________________________________________________ Expiration: _________________
Name on Card: ___________________________________ Signature: _______________________________________
PAYMENT & CANCELLATION DETAILS
Your invoice will be mailed when we receive your registration form. Submission of this form constitutes a commitment to attend.
Your college will be responsible for the tuition fees whether you are able to attend the event or not, unless you cancel and request a
refund in writing 30 days before selected event.
Chief Executive Officer:
Title:
(Please print)
Signature:
Date:
National Institute for Leadership Development
1202 West Thomas Road, Phoenix, AZ 85013 602.285.7727 Fax: 602.285.7728
2004 Listing of Monroe Community College
National Institute for Leadership Development (NILD)
Participants
Carol Adams
Susan Baker
Susan Belair
Judy Bulin
Donna Burke
Diane Cheasty
Loretta Chrzan-Williams
Cynthia Cooper
Donna Cox
Frances Dearing
Sharon Dobkin
Eileen Doyle
Brenda Embrey
Marie Fetzner
Janet Glocker
Mary Anne Gooding
Patricia Kennedy
Alberta Lee
Ellen Mancuso
Joan Mullaney
Dolores Pasto-Ziobro
Donna Pogroszewski
Betsy Ripton
Betty Stewart
Pam Weidel
Elizabeth Zwart-Kelly
National Institute for Leadership Development
1202 West Thomas Road, Phoenix, AZ 85013 602.285.7727 Fax: 602.285.7728