Local WLDI Coordinator:
Margaret Brunn
Wisconsin Technical College System
(715) 833-6427
mbrunn@cvtc.edu
$210.00 - food package and facilities fees for week two.
The Week 1 food package includes: 5 breakfasts, am & pm breaks, 5 lunches, & 2 dinners
This fee is paid directly to The Chair Academy
We ask that you make hotel reservations immediately upon receipt of registration confirmation.
Click Here
Please select the Hotel tab from the top of the page
We ask that you make hotel reservations immediately upon receipt of registration confirmation.
We ask that you DO NOT make airline reservations until we contact you directly.
Please note that the Chair Academy is not responsible for making hotel reservations.
Crown Plaza Madison,
4402 E. Washington Ave.
Madison, WI 53704,
Phone: (608) 244-4703
Fax: (608) 244-7829
$70.00 for a single plus tax $90.00 for a double plus tax
When making your reservations, the booking name is Academy for Leadership and Development. Hotel Room rate is based on Wisconsin per diem. These rates may change if per diem changes.
Please note that the Chair Academy is not responsible for making hotel reservations; please contact the hotel to make arrangements for your accommodation.
After submitting this form, please press the "back" button on your browser toolbar to return to your class web
page.
Academy Name:
Registrant Information:
First Name:
Last Name:
Experience Level
The experience and skill level of participants in every Academy vary widely, both in a general
sense and even more so, by specific topic. We want every module to be challenging for every participant, regardless
of your level of experience and prior training, so it is helpful for the facilitators to know about your current
abilities. Please choose the level of experience you have in each area. Thank you for your feedback.
Are you a supervisor?
Yes
No
If yes, how many years have you been in this role?
Leadership Topic
No Prior Exp
Some Experience
Experienced
Facilitating, Integrating and Celebrating Strengths
Leading Change
Leadership vs. Management
Valuing Diversity
Supervising Part-Time Faculty & Staff
Hiring Employees
Orienting Employees
Developing & Retaining Employees
Please list your expectations for this program:
Please fill in the information below. If you have questions concerning the form, please contact the Academy Liaison.
After submitting this form, please press the "back" button on your browser toolbar to return to your class web page.
Participant Information
Your Name:
Your College (please spell out the name):
Mentor Information
(please enter the information of the mentor you have chosen)
Name:
Email:
Title:
College:
College Address:
City, State, Zip:
Country:
Province (if applicable):
Phone #:
Fax #:
Additional/Replacement Mentor Information
(please enter the information of your additional mentor or
add a replacement name, which means your "original" mentor is no longer serving in this role)
Name:
Email:
Title:
College:
College Address:
City, State, Zip:
Country:
Province (if applicable):
Phone #:
Fax #:
Additional Mentor
Replacement Mentor
How did you approach the mentoring relationship? What mentoring or communication skills and strategies
did you use?
As you went through the mentoring process did you see growth and development in your mentee? If so,
would you share an example?
Was the mentoring relationship meaningful to your own growth and development? If so, in what ways?
Additional Comments?
Here is your Academy class e-mail. This email sends your message to every one in the class.
Below is a listing of links to additional aspects of the Academy Experience.
One of the primary outcomes of this leadership program is learning from one another. In order to help insure that
your leadership experience is meaningful and practical, we ask that you bring copy(s) of resource materials with you
to share with academy colleagues.
Leadership Books
Copy(s) of Department/College Strategic Plans
Model for Program Review
New Course Development Procedures
Outcome assessment and accountability model
Developing "Teams" model in Education
Teaching and Learning Projects/Initiatives
Job Descriptions
Interesting projects happening at your institution
Books and articles you would like to share (Be sure to write your name in your books, etc.)
Performance Evaluation Procedures/ Forms
New Employee Orientation Programs
Time Management Tools
Models for Dealing with Conflict effectively
Please mark the items you bring as "Display Copy Only" you do not have enough for distribution.