Department Chair Leadership Development Program Registration

Please complete the form to register for the Department Chair Leadership Development Program. The registration form must be completed by the Department Chair. Please review the session dates on the program overview and syllabus before submitting to make sure you can attend all sessions.

For inquiries, contact Jessica Smith at jsmith@boston-consortium.org. The registration deadline is August 21, 2026.

Name *

First

Last

Title *

Department *

Institution *

Email Address *

Tell us about yourself

How long have you served as department chair? *

• Starting in fall 2026 (less than 1 year)
• 1 year
• 2 years
• 3 years

Please note below three of your strengths and explain why they are assets to you in your position. *

How are you hoping to grow from this program? *

Have you completed a CliftonStrengths Assessment within the last two years? *

• Yes
• No

If YES, please forward your assessment results to info@boston-consortium.org.

Accommodation for October 28-29: Complimentary sleeping rooms are available at Connors Center. To ensure rooms are available for those traveling from a distance, we prioritize reservations for attendees who cannot reasonably commute. If you live within commuting distance, please do not request a room. Will you require overnight accommodations? *

• Yes
• No

If YES, you will receive an email with additional instructions as the event date approaches.

Do you have any dietary restrictions or food allergies?

to not or

Billing: Please provide the designated contact for the program invoice.

Please note that by submitting this form, you are agreeing to participate in the Department Chair Leadership Development Program beginning in October 2026. Payment for your participation will be required.

Name *

First

Last

Title *

Email *

Register Now