ELDP Class of 2011 Participant Registration

Congratulations on your selection as an ELDP member for the class of 2011. Please fill out the form below. Note that ith the exception of your digital photo, your contact information will be kept confidential, and will only be used to contact you for issues related to the ELDP.

About the ELDP Participant

*Full Name:
*Title:
*Organization:
*Work Address:
*City, Island, ZIP:
Home Address:
City, Island, ZIP:
*Country:
*Work E-Mail:
Personal E-Mail:
Alternate E-Mail:
*Work Phone:
Home Phone:
Cell Phone:
*Digital Photo:

About the ELDP Participant's Supervisor

*Supervisor Name:
*Supervisor Title:
*Supervisor E-mail:
*Supervisor Phone:
ELDP Class of 2011 ELDP Program Description ELDP Grad. Requirements

04.15.10 ELDP Applications Due

06.01.10 ELDP Award Notifications

07.26.10 ELDP Session I (Guam)

11.08.10 ELDP Session II (Palau)

02.07.11 ELDP Session III (RMI)

05.02.11 ELDP session IV (Honolulu)

The Executive Leadership Develoment Program (ELDP) is administered by the Graduate School's Pacific & Virgin Islands Training Initiatives with funding support from the United States Department of the Interior's Office of Insular Affairs. Contact information is as follows:

| 900 Fort Street Mall, Suite 1540. Honolulu, Hawaii 96813. |
| p. (808) 523-1650. | f. (808) 523-7634. | e. info@pitiviti.org |