The Chair Academy - Scottsdale Health Care Leadership Academy

Scottsdale Health Care/Shea Campus - Brady Conference Center 9003 E. Shea Blvd, Scottsdale, AZ 85260
All sessions will run from 6pm-9pm
Session 1	January 24, 2011	Session 10	October 24, 2011
Session 2	February 28, 2011	Session 11	November 28, 2011
Session 3	March 28, 2011	Session 12	December 12, 2011
Session 4	April 25, 2011	Session 13	January 23, 2012
Session 5	May 23, 2011	Session 14	February 27, 2012
Session 6	June 27, 2011	Session 15	March 12, 2012
Session 7	July 25, 2011	Session 16	April 23, 2012
Session 8	August 22, 2011	Session 17	May 21, 2012
Session 9	September 26, 2011	Session 18	June 25, 2012

For general Academy Questions please contact the chair Academy directly by clicking here.

Idahlynn Karre and Special Guest Facilitators from Scottsdale Healthcare

Please click on Registration tab at the top of the page to Register for this Academy

Please click the banner above to learn more about earning Graduate Credit for attending a Leadership Academy.

No hotel for this Academy


Registrant Information:
Dr., Mr., Mrs.
First Name:
Last Name:
Title/Position:
Department:
Address:
City:
State
Zipcode/Postal Code:
Email:
Work Phone:

Supervisor Information:
Name:
Title:
Phone:
Email:
You will receive an email confirming your registration within two (2) business days. Please answer this simple question... What is the third word from this list? Airplane, textbook, next, plum

Country
United States
Other

Payment
TBD US This includes facilities and food package fees for
Session 2 Academy

This fee is paid directly to The Chair Academy

Registrant Information:

First Name:

Last Name:

Title/Position:

Department:

College/Institution:

Address:

City:

State

Zipcode/Postal Code:

Country:

Email:

Work Phone:

Fax Number:

Do you have any dietary restrictions or special needs?

We will invoice you for the registration amount.

Cancellation & Transfer Policy

Before a program begins, substantial administrative costs related to your registration are incurred. Therefore, the following fees apply:

# Wks Before Program
more than 4 weeks
3-4 weeks
less than 3 weeks

Substitutions
Yes (no fee)
Yes (no fee)
Yes (no fee)

Transfer Fee
None
None
$75 +food package
Fee

Cancellation Fee
None
$125
$250 +food package Fee

Depending on the venue, you may also be responsible for paying hotel and catering costs.
Please contact the Chair Academy office for specific information related to your academy.

By submitting this form, you are stating that you have read and agreed to the cancellation
and transfer policy and accept its terms.

Please answer this simple question...
What is the third word from this list?
Airplane, textbook, next, plum

The Academy will send you specific instructions to complete each assessment.

Please wait until you are prompted by the Academy before you log on and complete these assessments

Click the above link to take your MLQ and LSPS Surveys.

Click the above link to take your DiSC Surveys.

Click the above link to take your Strengths Surveys.

Test 1

Test 2

After submitting this form, please press the "back" button on your browser toolbar to return to your class web page.

Academy Name:

Registrant Name:

First Name:

Last Name:

Experience Level

The experience and skill level of participants in every Academy vary widely, both in a general sense and even more so, by specific topic. We want every module to be challenging for every participant, regardless of your level of experience and prior training, so it is helpful for the facilitators to know about your current abilities. Please choose the level of experience you have in each area. Thank you for your feedback.

Are you a supervisor? Yes No

If yes, how many years have you been in this role?

Leadership Topic	No Prior Exp	Some Experience	Experienced
Please select only One (1) Level of Experience per Leadership Topic
Complex Role
Communication Principles
Time Management & Personal Balance
Work Behavioral Styles
Team Development
Transformational Leadership
Strategic Planning
Learning Styles
Emotional Intelligence
Conflict Management

Please list your expectations for this program:

After submitting this form, please press the "back" button on your browser toolbar to return to your class web page.

Academy Name:

Registrant Name (REQUIRED):

First Name:

Last Name:

Experience Level

Are you a supervisor? Yes No

If yes, how many years have you been in this role?

Leadership Topic	No Prior Exp	Some Experience	Experienced
Facilitating, Integrating and Celebrating Strengths
Leading Change
Leadership vs. Management
Valuing Diversity
Supervising Part-Time Faculty & Staff
Hiring Employees
Orienting Employees
Developing & Retaining Employees

Please list your expectations for this program:

This form is not to be submitted before attending the Session 1 Academy. The Academy will prompt you when it is time to fill in the information below.

If you have questions concerning the form, please contact the Academy Liaison. After submitting this form, please press the Home tab at the top of the page to return to your class web page.

Participant Information

Your Name:

Your College (please spell out the name):

Mentor Information

(please enter the information of the mentor you have chosen)

Name:		Email:
Title:		College:
College Address:		City, State, Zip:
Country:		Province (if applicable):
Phone #:		Fax #:

Additional/Replacement Mentor Information

(please enter the information of your additional mentor or add a replacement name, which means your "original" mentor is no longer serving in this role)

Name:		Email:
Title:		College:
College Address:		City, State, Zip:
Country:		Province (if applicable):
Phone #:		Fax #:
Additional Mentor		Replacement Mentor

This form is meant exclusively for Mentors. We are asking for your feedback about the mentoring process. Please take a few moments to respond to the questions below.

All responses will remain anonymous

How did you approach the mentoring relationship?
What mentoring or communication skills and strategies did you use?

As you went through the mentoring process did you see growth and development
in your mentee? If so, would you share an example?

Was the mentoring relationship meaningful to your own growth and development?
If so, in what ways?

Additional Comments?

FACILITATOR

Idahlynn Karre

ACADEMY PARTICIPANT PHOTOS


Participant Name, Participant College	Participant Name, Participant College	Participant Name, Participant College

Below is a listing of links to additional aspects of the Academy Experience.

One of the primary outcomes of this leadership program is learning from one another. In order to help insure that your leadership experience is meaningful and practical, we ask that you bring copy(s) of resource materials with you to share with academy colleagues.

o Leadership Books
o Copy(s) of Department/College Strategic Plans
o Model for Program Review
o New Course Development Procedures
o Outcome assessment and accountability model
o Developing "Teams" model in Education
o Teaching and Learning Projects/Initiatives
o Job Descriptions
o Interesting projects happening at your institution
o Books and articles you would like to share (Be sure to write your name in your books, etc.)
o Performance Evaluation Procedures/ Forms
o New Employee Orientation Programs
o Time Management Tools
o Models for Dealing with Conflict effectively