Instructions and Selection Criteria

Application Forms must be submitted/received by September 30, 2011. Applications will be accepted from individuals working in Lincoln area. Applicants will be notified of their acceptance into the Lincoln IT Leadership Academy by October 14, 2011.

A Selection Committee will review all applications and select participants based on the information provided on their Application Form. Criteria for selection include leadership potential, motivation, ability to identify and meet IT challenges and interest in the Lincoln IT Leadership Academy.

The Selection Committee consists of local IT professionals representing the AIM Institute,City of Lincoln / Lancaster County, Cornhusker Chapter of AITP, Kidwell Companies, Nebraska Educational Telecommunications, Pickering Creative Group, University of Nebraska and Nebraska Technology Park.

Class size is limited. Applicants are encouraged to reapply the following year if they are not selected.

* indicates a required field

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Contact Information


First Name (*)

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Middle Initial

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Last Name (*)

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Company (*)

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Title (*)

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Address Line 1 (*)

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Address Line 2

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City (*)

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State (*)

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Zip Code (*)

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Phone - Please include Area Code and Extension (if applicable) (*)

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Email Address (*)

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Questions


1.) What are three major challenges you face as an IT leader today? (*)

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2.) In the past decade, how has your role as an IT leader evolved in the workforce? (*)

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3.) List three characteristics that are essential for an IT manager to possess in order to be successful? (*)

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4.) What are you passionate about? (*)

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5.) Where do you see yourself in five (5) years? Why is this important to you? How do you plan to get there? (*)

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6.) How will participating in the AIM IT Leadership Academy help you achieve your professional goals? (*)

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7.) How will participating in the IT Leadership Academy positively impact your company? The larger IT community? (*)

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Leadership Experience



Please list any organizations in which you have held volunteer, elected or appointed positions. Criteria for selection includes leadership potential as communicated by sponsoring organization, motivation, ability to identify and meet IT challenges and how knowledge from IT Leadership Academy will be used to positively affect the larger IT community.

Organization - No. 1

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Position Held

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Duration

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Responsibilities

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_____________________________________________________________________

Organization - No 2

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Position Held

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Duration

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_____________________________________________________________________

Organization - No. 3

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Position Held

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Duration

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Responsibilities

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Community Involvement



Please list any organizations in which you have held volunteer, elected or appointed positions.

Organization - No. 1

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Duration

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Position Held

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VolunteerElectedAppointed
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Responsibilities

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_____________________________________________________________________

Organization - No. 2

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Duration

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Position Held

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VolunteerElectedAppointed
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Responsibilities

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_____________________________________________________________________

Organization - No. 3

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Responsibilities

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Letter of Recommendation



Please attach a letter of recommendation from your manager attesting to your skill and potential.


Manager's Name (*)

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Title

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Company

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Email Address (*)

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Phone Number (*)

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Please include a paragraph or letter of recommendation from your manager attesting to your skill and potential.

Recommendation Letter

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References



Reference No. 1


Please list two professional references, other than your employer, who we may contact regarding your application.

First Name (*)

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MI

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Last Name (*)

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Relationship (*)

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Company (*)

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Phone - Please include Area Code and Extension (if applicable) (*)

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_____________________________________________________________________


Reference No. 2

First Name (*)

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MI

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Last Name (*)

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Relationship (*)

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Company (*)

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Phone - Please include Area Code and Extension (if applicable) (*)

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Participant Conditions



By checking this box, I hereby state that the above information is correct to the best of my knowledge.
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I have obtained approval from my employer/manager (if applicable) to participate in the IT Leadership Academy.
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Employer/Manager Name

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Employer/Manager Title

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(*)
All parties involved understand the time and financial commitment required for completion of the program.
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