Emerging Leaders Form

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Applicant Information

Full Name *

Job Title *

Company Name *

Email Address *

Phone Number *

Years in the Construction Industry *

0-3

4-7

8-12

13+

Years in a Management Role *

Not currently in a formal management role

0-2

3-5

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Personal and Professional Goals

Why are you interested in joining the Emerging Leaders Peer Group and Leadership Program? *

What about this program, at this point in your career, feels valuable to you?

Where do you most want to grow in the next 3–5 years? *

What are one or two leadership skills you are most interested in developing over the next year? *

Leading and influencing teams
Managing up and down
Strategic thinking and decision-making
Executive presence and communication
Coaching and mentoring others
Stress management and resilience
Navigating growth and increased responsibility

Are you able to commit to attending monthly round tables and all four full-day sessions? *

I am willing to actively participate by sharing experiences, being open, and engaging respectfully *

I understand this is a year-long leadership development experience, not a one-time workshop. *

I understand that peer meetings and micro-lessons are recommended to maximize the program's value. *

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Supervisor/Manager Commitment

Has your supervisor or company leadership been made aware of your interest in this program? *

Yes

Not yet, but I plan to discuss it

Supervisor/Manager Name

Supervisor/Manager Email

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Final Acknowledgement

Final Acknowledgement *

I understand that participation in this program requires a high level of engagement, professionalism, and confidentiality.

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Stay Informed

Stay Informed