Executive Leadership Fellows Program Application - University of Arkansas at Pine Bluff

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Step1: Required Application Materials

Please submit a current Résumé or CV, letter of interest, and professional headshot with your application. *You must also contact your supervisor and request that they complete and submit the Supervisor Support Form on your behalf.*

Current Résumé or CV **

Max. file size: 100 MB.

Letter of Interest **

Max. file size: 100 MB.

Professional Headshot **

Max. file size: 100 MB.

Step 2: Applicant Information

Name*

Job Title*

Department/Unit*

Division*

Other

Email Address*

Phone Number*

Years of Full-Time Service at UAPB*

1–3 Years

4–7 Years

8–10 Years

More than 10 Years

Supervisor Name **

Supervisor Title **

Professional Background

Describe your current position and primary responsibilities*

Describe your leadership experience. Include formal and informal leadership roles, committee service, project leadership, community engagement, and professional organizations*

Leadership Interest Statement

Why are you interested in participating in the Executive Leadership Fellows Program? Please describe why this opportunity is important to your professional growth and leadership development*

What leadership competencies do you hope to strengthen through this experience? Select up to three and explain your choices.*

Response

Institutional Commitment

How do you envision contributing to the future success of UAPB and the advancement of the 1890 land-grant mission?*

What institutional challenge, opportunity, or strategic priority facing UAPB are you most passionate about addressing*

Leadership Aspirations

What are your short-term and long-term professional goals? Include any future leadership or administrative roles you aspire to pursue.*

What does transformational leadership mean to you in the context of an HBCU and 1890 land-grant institution?*

Executive Leadership Readiness

Describe a time when you led a significant initiative, project, or organizational change.

Please include: .

The challenge or opportunity
Your role
Actions taken
Outcomes achieved
Lessons learned

Describe a time when you led a significant initiative, project, or organizational change.*

Capstone Project Interest

As part of the Executive Leadership Fellows Program, participants will complete a Capstone Leadership Project. Briefly describe an institutional issue, opportunity, or area of innovation you would be interested in exploring.*

Please upload the following:

Applicant Commitment

I understand that participation in the Executive Leadership Fellows Program requires active engagement in monthly sessions, mentoring activities, executive shadowing opportunities, assigned readings, leadership reflections, and completion of a capstone project.

If selected, I commit to fully participating in all program requirements.

Applicant Signature **

Date **