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About
Our Core Values
For New Customers
Event Formats
Our Staff Team
FAQs
Apply to be a Speaker
Speakers
Workshops
Workshops
Facilitators
Consulting
On-Demand Courses
Initiatives
Speakers Academy
Speakers Blog
National Masculinity Week
Hazing Prevention Certification
Contact
Pre-Workshop Questionnaire: Building New Leader
Please answer the questionnaire as completely and honestly as possible. Your responses are important to help us provide a successful workshop.
CONTACT INFORMATION
Your Name
(Required)
First
Last
Your Email
(Required)
What best describes you?
Professional
Graduate Assistant
Student
School or Organization
Workshop Date
MM slash DD slash YYYY
Please provide a contact number for the day of the event (ideally a cell phone for someone who will be on campus)
What will the room layout be? (keep in mind the recommended room layout is round tables with PowerPoint visibility for all students)
CAMPUS CLIMATE
Please describe the reason for bringing this workshop to your campus:
What groups/organizations/students will be present? Is there anyone else you would like to include in this discussion that are unable to attend?
Please identify potential hot button issues or topics for your students:
Tell us about your campus culture/any recent issues that might come up in the discussion:
Is there anything else that the facilitators need to know about your students, campus or community before the workshop?
Why have these emerging leaders been chosen for this workshop? Please share any information about their background or on-campus roles that will help customize the workshop.
One of the activities will discuss challenges that leaders face. Are there any challenges that are specific to your organizations or campus?
Students will leave the workshop with a personal leadership statement. Do you have an idea of how this statement could be utilized after the workshop? Is there anything the facilitator can do to support this follow-up?
Students will be working through their personal ideas/values/perspectives as well as those of others. Are there any values or subjects that will make any of the participants feel uncomfortable?
Will there be any faculty or staff in attendance?
This workshop is part of a larger training
Agree
Disagree
Participants have been involved in previous leadership training
Agree
Disagree
Students understand and are able to display the qualities of a leader
Agree
Disagree
Participants are clear about what their leadership values are and align them with their actions
Agree
Disagree
Students will ask questions and actively participate
Agree
Disagree
Students will be open and honest
Agree
Disagree
This is a mandatory event for those attending
Agree
Disagree
Additional questions, comments or concerns: