Institute for Emerging Leadership in Online Learning Application Form

The application deadline has now passed. Applications are no longer being accepted. Thank you.

Program Deadlines

April 23: Application submission deadline
July 1: Registration deadline
July 6: Hotel reservations are due
July 16–27: Two-week IELOL Online
August 6–9: Immersive experience at Penn State
September 17–October 5: Three-week IELOL Online
October 10–12: Sloan-C Annual Conference

IELOL 2012 Application Form–to be completed by applicant

Last name: First name: Middle initial:

Phone #: Fax #: Email:

Confirm Email:

Please indicate the name of the nominee's institution in the box provided and select the type of institution by checking one below:
four-year public
four-year private
community college
other (please describe)

Briefly describe how your current role fits into the overall organization for online learning within your institution (100 or fewer words).

Briefly describe the most critical leadership challenge presently facing the nominee (100 or fewer words).

Briefly describe your leadership strengths (100 or fewer words).

Briefly describe your long-term leadership objective (50 or fewer words).

Briefly describe your desired outcome from participating in IELOL (100 or fewer words).

Please provide a statement supporting your application to IELOL 2012. This statement should be provided by a supervisor or senior institutional leader.

Name and Title of Individual Authoring Supporting Statement:

Support Statement for Applicants Participation in IELOL 2012 (200 words or less).

Funding to participate in IELOL has been identified and secured,
Yes
No
Pending

Nancy Eckard
Conference Planner
225 The Penn Stater Conference Center Hotel
University Park PA 16802
Phone: 814-863-5100
Fax: 814-863-5190
ConferenceInfo1@outreach.psu.edu

Institute for Emerging Leadership
in Online Learning — 2012

Online: July 16–27 and September 17–October 5
On-site: August 6–9
State College, Pennsylvania

Institute for Emerging Leadership in Online Learning Application Form

Program Deadlines

IELOL 2012 Application Form–to be completed by applicant

Institute for Emerging Leadership in Online Learning — 2012

Online: July 16–27 and September 17–October 5 On-site: August 6–9 State College, Pennsylvania

Institute for Emerging Leadership in Online Learning Application Form

Program Deadlines

IELOL 2012 Application Form–to be completed by applicant

Institute for Emerging Leadership
in Online Learning — 2012

Online: July 16–27 and September 17–October 5
On-site: August 6–9
State College, Pennsylvania