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2019 NASPA Region III/SACSA Mid-Managers Institute Application


5/21/2019 - 5/25/2019

MMI 2019 Letter of Recommendation - NASPA/SACSA MMI 2019

MMI 2019 Site: Mississippi State University

 

The Mid-Manager's Institute is a unique professional development experience presented by a partnership between SACSA and NASPA Region III. It offers an opportunity for mid-level professionals to enhance and develop the skills, relationships, and dispositions that distinguish them in the profession and enable them to make more meaningful contributions to the people and programs they serve.


Please note that your application is not complete without a high resolution headshot and a letter of recommendation from your Chief Student Affairs Officer. The application and letter of recommendation must be completed by April 5, 2019.

 

Applicant Information
First Name:  Required
Last Name:  Required
Title:  Required
Institution Name:  Required
Address 1:
Address 2:
City:
State:
Zip:
Phone (Office) :  Required
Phone (Cell):  Required
Fax:
Email:  Required
Confirm Email :
Special Needs:
Dietary Restrictions:
Pronouns (i.e. He/Him/His):
Resume:  Required
Provide short title (Resume):  Required
 
Demographics
This section is used for small group and diversity purposes.
Gender

 Male  Female
 Transgender  Other
 Prefer not to answer  
Race

 African American  American Indian
 Asian Pacific Islanders  Caucasian
 Hispanic/Latino  MultiRacial
 Other  Prefer not to answer
Age:
 
Education
Please include the degree type, year completed, field of study, and institution.
Degree 1:
Year:
Field of Study:
Institution Name:
Degree 2:
Year:
Field of Study:
Institution Name:
Degree 3:
Year:
Field of Study:
Institution Name:
 
Professional Positions
Please list most recent first.
Position 1:
Institution Name:
Years:
Position 2:
Institution Name:
Years:
Position 3:
Institution Name:
Years:
Position 4:
Years:
Institution Name:
 
Current Position
Please describe your position and supervisory responsibilities.
Current Position
 
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Professional Services
Please list any accomplishments, awards, honors, leadership roles in professional associations, etc.
Professional Services
 
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Professional Presentations
List the titles of any recent presentations at professional meetings.
Professional Presentations
 
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Professional Publications
Please provide a full citation for any publications that you have authored or co-authored. This citation should include the year of publication, name of the co-authors, and the publication in which the work appeared.
Professional Publications
 
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Presented Topics

If selected for MMI 2019, what topic(s) would you like to see presented? Please limit to one paragraph.

Presented Topics
 
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Career Plans
What are your career goals?
Career Plans
 
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Personal Reflections

Please answer the questions below in a separate document and upload a PDF with your responses. Please limit resposponses to one page, single-spaced.
• Why are you interested in participating in MMI?
• What do you expect to learn by attending MMI?
• How do you plan to contribute to MMI?

Personal Reflections:
Provide short title (Personal Reflections):
 
NASPA Member
NASPA Member

 Yes  No
Member Number:
 
SACSA Member
SACSA Member

 Yes  No
Renewal Date:
 
Headshot
Please upload a high resolution (at least 300dpi) headshot to be included in the program booklet.
:  Required
Provide short title ():  Required
 
Questions

Please direct all questions to: Zia Dean, Doctoral Fellow, Georgia Southern University, 912-478-2796, zia-dean@georgiasouthern.edu

Learning Outcomes from MMI - Please share what you hope to learn from your time at MMI 2019. Please limit your response to one page, single-spaced.
 
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Confirmation of Information

Please note that your application is not complete without the letter of recommendation from your Chief Student Affairs Officer. This letter of support must be completed online by April 5, 2019.

  Required

 CONFIRMED  
 
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