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CLA Conference Application

This is a small, working conference for center leaders actively solving operational challenges.
Applications are reviewed to ensure a high-quality, focused group.

Full Name

Institution

Title

Email (.edu)

What best describes your role?

A
B
C
D
E
F

How long have you been in this role?

A
B
C
D
E

Which best describes your center or program?

A
B
C

Where is your center or program primarily housed?

A
B
C
D
E
F

How many full time staff do you have?

A
B
C
D

Approximate annual budget

A
B
C
D
E

What is the most important problem you are trying to solve right now?

Why is this problem difficult to solve?

How urgent is this problem for you?

A
B
C

If you had to simplify this to one core issue, what is it?

What would a successful outcome from this conference look like?

Are you comfortable receiving direct, candid feedback from peers?

A
B
C

Are you willing to actively contribute to discussions and problem-solving sessions?

A
B

Anything else we should know?