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Year 3 CBA nomination self-nomination

Nominee information

Thank you for your interest in the Certified Business Administrator path. Since there is a large time commitment to this program, we would recommend that you have a discussion with your supervisor prior to submitting your application, as supervisor approval is required. Once your application is submitted, it will trigger an email to your supervisor to gain approval.

1. New Radio Buttons

Please tell us a little about yourselfThis information will also be used for name badges, if you are selected for the cohort

First Name/Nickname

Last Name

University Email Address

Title

College/Department

UIN

Please give us information on your manager/supervisor *This question is required.This will be the person who would approve the time you will need to participate in this program.

Supervisor First Name

Supervisor Last Name

Supervisor Email Address

For which part of the University System do you work?

For which School/College are you associated at UIUC? *This question is required.

Please enter an 'other' value for this selection.

For which School/College are you associated at UIC? *This question is required.

Please enter an 'other' value for this selection.

For which School/College are you associated at UIS? *This question is required.

Please enter an 'other' value for this selection.

For which department are you associated within the System Offices? *This question is required.

Please enter an 'other' value for this selection.

At which University would you attend the sessions?