2019 SIR Leadership Development Academy Application

Introduction
Thank you for expressing interest in participating in the Society of Interventional Radiology's 2019 Leadership Development Academy.

This program will take place on Wednesday, November 13, 2019 and Thursday, November 14, 2019 in conjunction with the SIR Executive Council and SIR Foundation Board of Directors meeting in McLean, Virginia.

The curriculum will be designed to focus both on fundamental leadership, management, and communication topics, as well as an orientation to leadership in SIR. This dynamic leadership educational experience will provide participants with valuable information to assist them in inspiring and leading the future of IR. Participation in this program is limited, so we ask that you complete this online application.

SIR will reimburse all Leadership Academy participants for their hotel stay.  Accepted participants will be responsible for their own transportation/airfare to and from the meeting.  (see travel reimbursement details below).

Ideal Candidates
Current SIR member who has completed their IR training
Demonstrates leadership potential and a commitment to IR advocacy and volunteer service
Able to provide a letter of recommendation or nomination from a colleague who can support your potential for leadership (SIR member preferred, but not required) by August 23, 2019.

Submit application by Friday, August 23, 2019.
Instructions
  • Complete the application and essay questions
  • Upload your CV within the application form (please name you CV file as your last name (eg SMITH_CV)
  • One letter of recommendation or nomination letter is required from a colleague

The deadline to submit applications is Friday August 23, 2019. All letters or recommendations must be received no later than Sunday, August 25, 2019.

All applications will be reviewed by a committee made up of past Leadership Development Academy graduates. Please contact Joy Gornal or Caitlin Couture if you have any questions or concerns.

Travel

Your Contact and Demographic Information
First Name Middle Init Last Name








Your CV and Letter of Recommendation


To expedite the completion of your application, please forward this link 

https://www.tfaforms.com/4720913 to the member who will be submitting a letter on your behalf.
Essay Questions

PLEASE LIMIT EACH ANSWER TO NO MORE THAN 500 WORDS


PLEASE LIMIT YOUR ANSWER TO NO MORE THAN 200 WORDS

PLEASE LIMIT YOUR ANSWER TO NO MORE THAN 200 WORDS

* PLEASE LIMIT YOUR ANSWER TO NO MORE THAN 200 WORDS

PLEASE LIMIT EACH ANSWER TO NO MORE THAN 200 WORDS