Wufoo
M-E LDI Who's Who Form
Instructions: Please complete this page by Monday, May 6. To understand what we're hoping to create for everyone, please review the example email attachment, "Who's Who Bio Example." If you have any questions, please contact Nita Stemmler at nstemmler@cccu.org.
First Name
*
Last Name
*
Position Title
*
Institution
*
Email
*
Degrees will be listed next to your photo. When listing your degrees, please include the degree, the discipline, the institution (BA, Organizational Management, Oxford University)
Other Degree(s)
Master's Degree(s)
Undergraduate Degree(s)
*
Biographical Introduction
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Maximum of
150
words.
Currently Used:
0
words.
Institutional Responsibilities
*
Maximum of
120
words.
Currently Used:
0
words.
One Example of How Your Personal Ethnic Identity Development and/or Multi-Cultural Understandings Have Influenced Your Leadership Journey (positive or negative).
*
Maximum of
120
words.
Currently Used:
0
words.
Leadership Principles that Have Guided You
*
Maximum of
120
words.
Currently Used:
0
words.
Favorite Quote
*
Maximum of
50
words.
Currently Used:
0
words.
Please upload your head shot here. (We are asking for a true head shot from shoulder's up.) Not to exceed 5 mb.
*
Do Not Fill This Out