Harvard Public Sector Executive Summit Application

Public Sector Executive Summit

Application for Attendance

Below is the application for attendance to the Public Sector Executive Summit at Harvard on August 14 - 16, 2022. This application is the first step to participation. Please complete all the fields below and submit for consideration.

Once your application is received, we will review it and notify you once a decision is made.

THIS IS AN APPLICATION ONLY. IF YOU ARE APPROVED, YOU WILL BE REQUIRED TO COMPLETE A FINAL REGISTRATION FOR THE EVENT TO CONFIRM YOUR ATTENDANCE.

"*" indicates required fields

Please indicate which days you wish to attend:*

Sunday, August 14, 2022

Monday, August 15, 2022

Tuesday, August 16, 2022

PROGRAM AND TRAVEL EXPENSE

The Accelerator is an educational event for city leaders. The registration fee for this educational Accelerator has been waived. However, travel expense is the responsibility of the attendee - unless awarded a travel scholarship (see below). Please note that many cities provide support through education/training/professional development funds. Please acknowledge this below.*

Yes

ATTENDEE DETAILS

Name*

First Last

Email*

This will be used to contact you for updates of the event. By submitting this application, you agree to receive emails regarding registration and logistics for this event.

Job Title*

City/Organization*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

TRAVEL SCHOLARSHIPS

We have a limited number of travel scholarships for new cities who have not attended an Accelerator event before, or have unique circumstances that do not allow for their home city to support their attendance. Travel scholarships are made possible through registration fees (if any) and sponsor support of the event. Please see your organizations policies regarding travel support by third parties. By applying you are agreeing that there are no conflicts with your organization in receiving travel support. Please note this is an educational event and funds may be available through your city's education and training budget. Scholarships will be awarded based on the answers to the questions in this section. No more than one scholarship will be given per city.*

Yes - I request travel support

No - I do not need travel support

I have attended an Accelerator in the past:

Yes

No

Please describe your interest and goals in attending this event.

If requesting travel assistance, please describe why your home city is not able to provide assistance to attend:

Nominate an Up-And-Coming Leader

If you would like to nominate an up-and-coming leader in your organization, please provide their details below.

Name

First Last

Email

Please tell us why you think this person would benefit from attending this event at Harvard.

Comments

This field is for validation purposes and should be left unchanged.

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