TO THE APPLICANT: If you have more than one manager who would be impacted by your participation in the program, each manager must complete the form. If you are self-employed or do not have a manager, you do not need to complete this form. 

TO THE APPLICANT’S MANAGER: The Alice Houston Women’s Leadership Program requires a commitment not only from the individual participating in the program, but from the candidate’s employer(s) as well. Please complete this form to indicate that you, as the candidate’s full-time manager, support the candidate and understand the commitment.

Deadline: Saturday, December 9, 2023 at 11:59 p.m.

  • Your name and contact information

    Candidate's manager.

  • Name of Program Candidate

  • Program Commitments

  • Manager Commitment

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