TO THE PARTICIPANT: If you have more than one supervisor who would be impacted by your participation in Leadership Accelerator, each supervisor must complete the form.

TO THE PARTICIPANT’S SUPERVISOR: The Leadership Accelerator program requires a commitment not only from the individual participating in the program but from the individual’s employer(s) as well. Please complete this form to indicate that you, as the participant’s full-time supervisor, support the candidate and understand the commitment.

  • Your name and contact information

    Participant's Supervisor

  • Name of Program Participant

  • Program Commitments

  • Supervisor Commitment

    My (typed) signature below indicates my commitment to and understanding of the Leadership Accelerator program requirements.
  • The TYPED SIGNATURE above will serve as my electronic signature.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.