ELA Graduation Form

Please complete the form below with your ELA Graduation preferences.

*Denotes fields required to process the form.

Contact Information

After you complete this form, you will receive an automated confirmation email to the address you enter below. Also, if we have any questions regarding what you've entered below, this is the address we will use.

First Name *

Last Name *

Email address *

ELA Cohort

Name & Agency Verification

Look at the linked PDF (alphabetical by last name). Let us know if your name and agency are spelled correctly. (This is information from when you registered for ELA, unless you have given us different information since then.) How it is listed on this PDF is how it will be printed on the program, your certificate, and in the press release unless you tell us otherwise. (It will be listed the same across all of those documents.)

If your agency is listed generically, like Johnson County Government, be sure to indicate if you want it to be more specific (i.e. have your department name too).

Name and agency on the PDF are correct *

Yes

If you answered no on the previous question, how would you like your name and agency to be listed instead?

Pronunciation Guide

Help the person who will read your name at graduation. Here’s an example, Kristina Clark
Kristina = Kris (like Chris) Tea-Nuh
Clark = Cl (as in claw) ark - like in St. Louis; (or Clark like Superman's first name)
The fields below are mandatory. If you feel like your name needs no explanation, simply put something to that effect. Please remember, while it may seem "self explanitory" to you, it may not be to someone else.

First Name pronunciation *

Last Name pronunciation *

ELA Experience

Write a sentence or two (roughly 25-35 words) about your ELA experience that you’d like read out loud at graduation. It could be something inspirational that was said in a class by an instructor, an exercise that you did that proved particularly meaningful, or anything else that you’d like to share with the graduation attendees about what you learned (from each other, guests, books). This will be read (along with your name and agency) as you are getting your certificate from Noel and getting your picture taken.

If you leave this area blank, you will walk across to receive your certificate in silence. This is totally your choice, but it can be a bit awkward.

ELA Experience *

Media

Help us shine a positive light on government work! It's important to us to show the public that public service professionals receive valuable leadership training, so we use a press release and social media to announce the newest crop of graduates from the Emerging Leaders Academy. You may not think that this is a big deal, but it REALLY is. You can help us in this endeavor by completing the following fields.

Press Release: If you give us permission, we will include your name and agency on a press release that will go out through KU News. If you’d prefer not to be included in the press release, you must click "No" below.

Social Media: If you give us permission, we will post on Twitter and on Facebook and tag your organization while congratulating you on your graduation. If you’d prefer not to have an announcement on social media, you must click "No" below. By the way, if you’re not already following us on Twitter, we’re @KUPMC. On Facebook, you'll find us here: https://www.facebook.com/kupmc

You have my permission to post my name on a press release *

Yes

State, County & City that you want listed as your state, county & city (this will affect which local media outlets receive the press release)

Example: KS, Douglas, Lawrence

Your organization’s Twitter handle (if you know it)

Your organization’s Facebook handle (if you know it)

Notes

Notes (Anything else you need/want to tell us? Clean jokes?)

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