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Registration Form



6th Annual Young Women’s Leadership Symposium

"Women and Leadership...Finding our place."

Austin Peay State University

Event Date: Friday, March 4, 2016

Event Time: 8:30am-1:30pm

Morgan University Center Ballroom 

REGISTRATION FORM DUE: Wednesday, March 2, 2016 by 4:30p.m.

This event is FREE and open to all. Breakfast and Lunch will be provided and we will end with a drawing for prizes!!

Program Purpose: To increase the political efficacy of young women ages 16-24 through leadership development and civic engagement activities.

Program Outline: The one-day seminar will enroll young women between the ages of 16 and 24. Participants will be recruited through announcements sent out through the APSU announcement system and local press releases. The young women will be taught a series of courses on basic leadership styles and development and assigned a service-learning project and present their work at the end of the session. By utilizing service learning and political advocacy as instructional strategies, students will increase their political efficacy and community service advocacy. Additionally, women in leadership and non-profit service entities will be invited as guest speakers to reflect on their own leadership development and provide service learning opportunities.

Program Objectives:

  • Demonstrate an understanding of leadership development and what it takes to be a leader.
  • Be able to identify various leadership styles as it pertains to women and leadership.
  • Develop a broad familiarity and knowledge of good political leadership traits.
  • Understand the importance of political efficacy in leadership development as it pertains to service learning projects.
  • Be able to discuss the relationship between civic engagement activities and leadership development.
  • Gain leadership confidence through interactions with local leaders.

Please fill out ONLY sections I and V. Sections II - IV are optional.

Personal Data
Please Select Age
Format: (xxx) xxx-xxxx
Please provide your E-mail address that you check most frequently.
Please list current semester courses (Fall 2015,Spring 2016)
General Work History Summary:
Please list in order of importance to you, up to five community, civic, religious, social, athletic, political, and other organizations to which you belong or did belong. Organizations and positions held:
What was accomplished in any of these activities that you consider significant? Please explain your role(s).
What type of service learning projects would you like to become active with?
What do you expect to gain from the Young Women’s Leadership Symposium?
In your judgment, what are the three most important challenges facing Women in Leadership today? Explain why.