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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?

What best describes your role?
A
B
C
D
E
F

How long have you been in this role?

How long have you been in this role?
A
B
C
D
E

Which best describes your center or program?

Which best describes your center or program?
A
B
C

Where is your center or program primarily housed?

Where is your center or program primarily housed?
A
B
C
D
E
F

How many full time staff do you have?

How many full time staff do you have?
A
B
C
D

Approximate annual budget

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?

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?

Are you comfortable receiving direct, candid feedback from peers?
A
B
C

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

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

Anything else we should know?