Workshop information  
		Workshop Name 
                                            
                                                2022 Local Government Leadership Academy 
                                         
	 
		Date January 20 to September 20, 2022 
	 
		Location Virtual, On-line and In-person (Stevens Point) 
	 
		Deadline Extended - January 14, 2022 
	 
		Price $1,200.00 
	 
		In the Local Government Leadership Academy you will focus on four primary skills of being an effective local government leader: relationship-building, communication, decision-making and vision. Each of these four topics is grounded in the idea that we lead in service of the community. 
The LGLA is a 9-month program with a blend of online self-paced learning, virtual presentations and in-person workshops.
The LGLA prioritizes individuals currently serving in local government roles (appointed, elected, staff, citizen boards, etc) in Wisconsin. If you are not currently in a local government role, please contact Jeremy Solin at 715.498.4733 or jsolin@wisc.edu prior to registering.
You have 2 options for payment - either pay in full or in 2 installments. If you are paying in installments, enter the code: LGLAhalf in the "Promo Code" box and hit "apply code" before registering.
If you are receiving tuition support, enter the code sent to you in "Promo Code" box and hit "apply code" before registering. If you are interested in receiving tuition support but haven't completed the survey, please complete the survey prior to registration https://leadershipdevelopment.extension.wisc.edu/programs/local-government-leadership-academy/ or contact Jeremy Solin at 715.498.4733 or jsolin@wisc.edu 
	 
		  
	 
		Participant information  * - required 
		Last Name * Required!  
		First Name * Required!  
		Suffix  
		Organization Name * Required!  
		Title/Position * Required!  
		Address * Required!  
		Address 2  
		City * Required!  
		State * Required!  
		Zip Code * Required!  
		E-mail * 
                                        Required! 
                                             
		Phone * Required!  
		  
	 
		Please provide the following demographic information about yourself. This information is used to ensure our programming is reaching a diversity of audiences and to fulfil our obligations as a recipient of federal funding. You reserve the option to not provide this demographic information. Should you choose to not provide this information, please choose "Prefer not to respond."  
	 
		  
	 
		Please indicate your race. Choose only one answer.  
                                            I identify as having (check all that apply):  American Indian or Alaska Native (1)   Asian (2)   Black of African American (3)   Native Hawaiian or Other Pacific Islander (4)   White (5)   Two or more races (6)   Prefer not to respond (7)  
	 
		Please indicate your ethnicity. Choose only one answer.   
		Please indicate your “Sex”. Choose only one answer.   
		Please indicate your age. Choose only one answer.   
		  
	 
		If you have a Promo Code, please enter it here  
		Registration Category  
		Payment Method  
		 
		  
	 
		Doing Business As:  The charge will appear on your credit card statement as UW Local Gov. Education . 
		Cancellation Policy:  To cancel a registration/payment, please contact  lgc@extension.wisc.edu . 
		Privacy Statement:  The Local Government Education does not sell, rent, trade or distribute any personally identifiable customer information to any third party, except as required by law. Information collected by The Department of Animal Science is used for the administrative and operational purposes of our services.  
		Contact:  Please contact lgc@extension.wisc.edu , if you have any questions about your registration. 
		
				  NOTE: If you have a disability and desire accommodation, please advise us as early as possible. Requests are confidential.