2019-2020 Engineering Leadership Academy Application
Thank you for your interest in ACEC Georgia's Engineering Leadership Academy program. Please complete the following form in order to be considered for inclusion into the 2019-2020 class. 

If selected for the program, attendance at all sessions is mandatory:

September 12-14, 2019
| Kick-off Retreat, Lake Lanier Islands Resort
November 20, 2019 | Learning Day 1
January 15, 2020 | Learning Day 2
March 18, 2020 | Learning Day 3
May 20, 2020 | Business Case Presentations and Graduation Dinner

If you cannot commit to attending all dates listed above, we encourage you to re-apply at another time.
 
APPLICANT INFORMATION
 
1.
Please enter the information indicated below.

First Name:
Middle Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Name of Nominating Firm:
Name of Nominating Principal/Owner:

2.

Are you a registered Professional Engineer? If so, please list in which states.

Yes
No
  • Comment:

  • 500 characters left.
3.

Are you a graduate of ACEC Georgia's Future Leaders Program?

Yes
No
4.

Have you participated in other leadership programs? If so, please list which ones.

Yes
No
  • Comment:

  • 500 characters left.
EDUCATION AND OTHER ACHIEVEMENTS
 
5.

Please list all colleges and universities attended and/or training programs indicative of personal growth. (School/Training Program, Dates, Degree/Year)

 

350 characters left.
EMPLOYMENT EXPERIENCE

 
6.

Number of total years of experience in the engineering industry:

 

50 characters left.
7.
Length of current employment:
 

50 characters left.
8.
Brief job description of current role:
 

350 characters left.
9.
Please list any accomplishments during this period:
 

350 characters left.
10.

Please summarize any previous employment experience of significance to you:

 

1000 characters left.
PROFESSIONAL REFERENCES

Please list two professional references. One must be from the nominating Principal listed at the beginning of this application and one from outside of your current firm. A recommendation letter from each referral must be submitted either via email (chandler.carter@acecga.org) or mail (233 Peachtree Street, Suite 700, Atlanta, GA 30303). 
 
11.
Reference 1
Please list name, relationship, company and email address.
 

350 characters left.
12.
Reference 2
Please list name, relationship, company and email address.
 

350 characters left.
INDUSTRY INVOLVEMENT
 
13.

Please list your involvement with any associations in the Georgia Engineering Alliance (ACEC Georgia, ASCE, ASHE, GEF, GSPE, ITE, ITS, SAME, SEAOG, SMPS, WTS).

 

1000 characters left.
14.

Please list any other volunteer experience.

 

350 characters left.
15.

Why are you interested in participating in the Engineering Leadership Academy? And, why do you believe you would be a good candidate?

 

350 characters left.
If accepted into the Engineering Leadership Academy, you or your company are responsible for the cost of $3,500, which includes all expenses for the nine-month program. The highest degree of commitment is required, including mandatory participation and attendance in all activities, events and assignments.