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Home > National Programs > Leadership > APO LEADS > Course Request Form
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APO LEADS Course Request Form

Instructions

To request an APO LEADS course to be presented to your chapter, or at an event that your chapter is hosting, please complete the form below, specifying which course you would like to see. Only one course may be requested with each submission of this form, so if you are holding a conference and would like to request more than one course, simply complete and submit the form separately for each course.

The students involved with planning the event should be the ones to submit the request.

All requests submitted via this form are sent to the National Office as well as forwarded to the appropriate course coordinator. We will do our best to try to fill every request, however, this is dependent on the availability of our volunteer staff members.

The person listed as the Contact should have the authority and knowledge to make decisions about room arrangements, scheduling, and can speak for the Conference Committee/Chapter when contacted by APO LEADS Coordinators.

If you have any questions regarding the status of your request, please contact the appropriate course coordinator:

You may also contact the National Office (by phone at 816-373-8667, or email). If you have trouble filling out this request form, contact the webmaster.

Special Note to Those Interested in SERVE: Due to the weekend-long nature of the SERVE course, it requires a bit more logistical preparation, as well as more trained volunteer presenter support. We are therefore unable to honor individual requests to present SERVE in the same fashion as the other courses. Instead, we plan to offer it in a rotating fashion at various cities around the country, similar to the Chapter Program Workshop (CPW). Please see the course calendar for a listing of all available SERVE events coming up. If your chapter (or section/region) is interested in hosting a SERVE, please contact the SERVE Coordinator to express your interests. Thank you!

To Our Fillipino Brothers & Sisters: Currently, there are no trained APO LEADS Presenters in the Phillippines, making it impossible for the courses to be presented. The APO-USA National Leadership Development Committee is working with the APO-USA International Relations Director and the APO-PHIL National Organization to develop leadership development courses based on the Servant Leadership concept, yet geared more towards the cultures and characteristics of APO chapters in the Phillippines. Watch this site and the APO Phillippines website for information about when these new courses will be available!

As always, our Brothers and Sisters in the Phillippines are still welcome to attend and participate in APO LEADS courses at locations within the United States!

Contact Name:

[ First Name ] [ Last Name ]
Contact Email:
Contact Phone: (format: 123-456-7890)
Contact Position/Title:
Chapter/PG/IG:
Event Location:
(Name/Room Number of Building on Campus or Name of Hotel/Room Number that the event will be held)
Address:

(specific location where event will be held)
City:
State:
Zip Code: (format: 12345-0000)

  • I would like the following APO LEADS course to be presented:

    LAUNCH: Launching your Leadership Development (3 Hours)
    EXPLORE: Exploring Your Leadership Potentials (6 Hours)
    ACHIEVE: Achieving Success Through Teams (3 Hours)
    DISCOVER: Discovering Personal Strengths and Success Skills (3 Hours)

    Note: If requesting any program other than LAUNCH, please take into consideration whether there will be enough attendees who have already previously taken LAUNCH, since LAUNCH is a prerequisite for all other APO LEADS courses.

    Also, when scheduling an EXPLORE course, please allocate a 7-hour block to provide for a one-hour break for lunch.

  • Is this event a local chapter event or a conference event?

    Local Chapter Event
    Conference Event

  • If this is a Local Chapter Event, please specify whether this event is closed to only your chapter or open to other members. All conference events MUST BE OPEN TO ALL CONFERENCE PARTICIPANTS.

  • Please select your top three choices for the event's date and time.

    1.

    2.

    3.

  • What is the title of the event?


    (e.g. "Section 00 Conference" or "Omega Omega Omega Chapter Leadership Day")

  • What equipment will be available for the presenters to use? (an LCD Projector for PC/Mac hookup is preferred)

  • Additional Information: Please enter any additional information that you feel the Course Coordinator needs to know in order to successfully assign an APO LEADS volunteer staff member to your request. If you have already spoken with an APO LEADS volunteer staff member who is willing to present, please enter that information including the staff member's name here. Also include any specific instructions or details that we need to know regarding the event.

Agreement

Please read over the following agreement and enter your initials next to each subsection. By entering your initials into each box, you agree to be held responsible for each section.

I understand that all of the APO LEADS courses require a MINIMUM of 12 people and a MAXIMUM of no more than 30 people in attendance.
I understand that by submitting this form I am agreeing to provide a room with seating for up to 30 people (and space for those 30 people to do exercises, in the case of the ACHIEVE), a whiteboard or chalkboard or easel/paper, and an LCD projector or Overhead Projector (depending on the option you checked above), at the time indicated on the request.
I understand that once I submit this form to the National Office, the request will be forwarded to the appropriate Course Coordinator who will contact me within two weeks of receiving the request.
I understand that once my request has been approved by the appropriate Course Coordinator, I am responsible for promoting this presentation.