SEP Application Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Password must contain the following: 12 Characters 1 Uppercase letter 1 Lowercase letter 1 Number 1 Special character Strategic Executives Program (SEP) Before you complete the application, please review the program dates in the brochure and ensure you are available to attend all sessions. Choose one:Please select... I am the strategic executive with my CEO's approval to apply I am the CEO (or equivalent) applying for my strategic executive Other About the Applicant First Name Last Name Title Email Phone Number How do you self identify? (please use your own words e.g. male, female, non-binary, Indigenous, White, Black, African etc.) Which do you self-identify as? (select all that apply)AsianAfricanAfrican Nova Scotian (As defined by African Nova Scotian Affairs)BlackCanadianCaribbean CanadianFirst NationFrancophoneInuk (Inuit)Indigenous from outside Turtle Island/North AmericaLatinxLGBTQIA2SMétis (i.e. members of the Métis Nation, namely, the Métis Nation of Ontario, the Manitoba Métis Federation, the Métis Nation—Saskatchewan, the Métis Nation of Alberta and the Métis Nation British Columbia)Middle EasternMulti-racialNewcomer (Immigrant)WhiteA person with a Disability (As defined under the Employment Equity Act)I prefer not to shareOther APPLICATION QUESTIONSFollowing the application, our team will interview applicants first, followed by a short interview with their CEO or organizational leader. Please select the situation that best applies for you. This is my first time applying for the programI previously applied WITHIN the last 3 yearsI previously applied OVER 3 years ago About the CEO or organizational leader Name Email Title About the company Organization Name Street Address City ProvincePlease select... ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND AND LABRADOR NORTHWEST TERRITORIES NOVA SCOTIA NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORIES Country Postal Code Approximate Total Gross Revenue of the organization or company in your last fiscal year (This is to help us better access the stage of the organization to ensure we have a diverse mix) Number of Employees (Full Time Equivalent) Number of Employees who report to you? (FTE) Please select your salary range (This is for research purposes as we develop more resources and programs for business leaders in the region, since salary is an economic driver. Your individual data will be kept confidential)$45,000-$60,000$60,001-$75,000$75,001-$85,000$85,001-$100,000$100,001-$115,000$115,001-$130,000$130,001-$145,000$145,001-$160,000$160,001+ Preferred Program Format (Not Applicable for SEP16)Please select... I am only interested in the In-Person program I am only interested in the Virtual program I am interested in either program My Motivation Our SEP forum members come together to work through challenges related to growth. We care about your reason for wanting to be part of a forum and the complexities you are working through in wanting to grow your leadership capacity and skills. My Contribution Our aim is to create forums with individuals with different strengths and gaps in leadership. We are looking for individuals who can both 'give' and 'get' from group discussions. To that end, please use this space to describe the area(s) in business operations where you are strong (e.g. communications, operations, systems, leading teams, finance, strategy, etc.) Learning Areas Similarly, we don't expect you to be an expert in all aspects of operations. What are the area(s) where you hope to learn and grow through your participation in the program? Please provide your bio (Max 175 words) After our July 25 application deadline, someone from our team will be in touch to meet with you, and also to book a short conversation with your CEO or organizational lead. For that interview, you is the best person to contact? Is it you or someone else? What is the name of the person to contact to book the interview with your CEO? We will contact you directly to meet further on your application interests. Their email? Privacy Policy: UNB and the WMI are committed to protecting the personal information of all applicants. The information collected on this application form will be used solely for the purposes of selection and will be accessible only to the judges (marked confidential) and WMI staff. For more information on the protection of personal information at UNB contact the Wallace McCain Institute (c/o UNB President's Office), Sir Douglas Howard Hall Rm 111 University of New Brunswick 3 Bailey Dr. PO Box 4400 Fredericton NB Canada E3B 5A3 www.unb.ca/secretariat (506) 453-4613. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Save my progress and resume later | Resume a previously saved form
