AI Federal Leadership Program Application Program Information Notice for Department of Homeland Security Employees Other DHS applicants have recently notified us of a DHS firewall-related issue that may prevent form submission. We are currently trying to work with your department to resolve the issue. If you are unable to submit an online application, please contact Ethan Carr at [email protected] or (202) 495-7189 for alternative application options. Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: The AI Federal Leadership Program continues to be a first-of-its-kind program to educate federal leaders on how to develop a vision for AI and begin executing on that vision in their agencies. The Partnership has extensive experience delivering leadership development programs that strengthen the capacity of federal employees at all levels. Through a partnership with Microsoft and Google, we are creating a cohort of senior leaders across government who are ready to guide their agencies’ AI strategy. The AI Federal Leadership Program consists of six half-day (3 hours) virtual sessions throughout the year and is designed to: Educate agency decision-makers on the opportunities around AI. Highlight best practices for how to make the case for and develop AI solutions. Prepare leaders to incorporate AI technology into their strategies and equip their workforce.We are offering this program at no cost to federal agencies.Please note that while the program welcomes applicants from all geographic areas, sessions will be held from 9 a.m. - 12 p.m. EST. Sessions for in-person cohorts will be held at the Partnership offices in Washington, D.C.Application deadline: March 27, 2023 AI Federal Leadership Program Spring 2023 Application Personal Information SalutationPlease select... Mr. Ms. Mrs. Mx. Miss Dr. Prof. The Honorable Brig Gen Captain Commander Chief Master Sergeant Colonel First Lieutenant General Lieutenant Lieutenant Commander Lieutenant Colonel Lieutenant General Major Major General Master Sergeant Rear Admiral Vice Admiral First Full Name Middle Name or Initial(s) Last Name Nickname Pronouns Job Title OccupationPlease select... Acquisition/Contract Management Business and Operations Communications Finance Human Resources Information Technology Medical/Public Health Science/Engineering Other Department or AgencyPlease select... Architect of the Capitol Commodity Futures Trading Commission Consumer Financial Protection Bureau Consumer Product Safety Commission Corporation for National and Community Service Court Services and Offender Supervision Agency Defense Nuclear Facilities Safety Board Department of Agriculture Department of Commerce Department of Defense Department of Education Department of Energy Department of Health and Human Services Department of Homeland Security Department of Housing and Urban Development Department of Justice Department of Labor Department of State Department of the Interior Department of the Treasury Department of Transportation Department of Veterans Affairs Environmental Protection Agency Equal Employment Opportunity Commission Export-Import Bank of the United States Farm Credit Administration Federal Communications Commission Federal Deposit Insurance Corporation Federal Election Commission Federal Energy Regulatory Commission Federal Housing Finance Agency Federal Labor Relations Authority Federal Maritime Commission Federal Mediation and Conciliation Service Federal Retirement Thrift Investment Board Federal Trade Commission General Services Administration Government Accountability Office Intelligence Community International Boundary and Water Commission Merit Systems Protection Board Millennium Challenge Corporation National Aeronautics and Space Administration National Archives and Records Administration National Credit Union Administration National Endowment for the Arts National Endowment for the Humanities National Gallery of Art National Labor Relations Board National Science Foundation National Transportation Safety Board Nuclear Regulatory Commission Office of Management and Budget Office of Personnel Management Office of Special Counsel Office of the U.S. Trade Representative Peace Corps Pension Benefit Guaranty Corporation Railroad Retirement Board Securities and Exchange Commission Selective Service System Small Business Administration Smithsonian Institution Social Security Administration Surface Transportation Board Tennessee Valley Authority U.S. Agency for Global Media U.S. Agency for International Development U.S. International Development Finance Corporation U.S. International Trade Commission U.S. Patent and Trademark Office U.S. Postal Service Other Other Department or Agency (please avoid acronyms) Subcomponent (please avoid acronyms) Office or Work Unit (please avoid acronyms) Preferred Phone NumberPlease select... Work Mobile Home Work Phone Mobile Phone Home Phone Address InformationWe may use this information to send you program materials. Preferred Mailing AddressPlease select... Home Work Street City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Zip Code CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe Work Email Personal Email Preferred Email AddressPlease select... Personal Work Emergency Contact Name Emergency Contact Phone Supervisor Information SalutationPlease select... Mr. Ms. Mrs. Mx. Miss Dr. Prof. The Honorable Brig Gen Captain Commander Chief Master Sergeant Colonel First Lieutenant General Lieutenant Lieutenant Commander Lieutenant Colonel Lieutenant General Major Major General Master Sergeant Rear Admiral Vice Admiral First Name Last Name Job Title Phone Email Street City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Zip Code CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe Professional Experience and Objectives Total years with current agency (Numerals only) Total years of government service (Numerals only) GS Level or EquivalentPlease select... GS-15 SES SES Equivalent Participation format preference Select your participation format preference. Please note that participants will not be permitted to switch between options during the program. Applicants who live in the D.C. metro area are highly encouraged to join the in-person program.In personVirtual We strive to accommodate applicants' preferences but cannot guarantee availability. If your preferred participation format is not available, are you open to attending the alternative format?YesNo Please include any additional information regarding your participation format preference that you would like us to know. (Word limit: 250 words) Why have you chosen to apply for this program? Describe one thing you hope to take away from it. Limit 250 words. What leadership skill(s) would you like to develop during this program? How knowledgeable are you about AI and its applications? Note: This does not impact your ability to participate in the program. We welcome people with varying skills and experience.No knowledge (I know that there is something called AI but I don’t know what it is.)Basic knowledge (I am familiar with some basics such as voice recognition or cognitive services, but have never been involved in a project that involved AI.) Working knowledge (I have been involved in some projects where AI was used.) Deep knowledge (I have been heavily involved with AI technologies and their applications in my work.) What business challenge(s) are you experiencing where you hope to apply AI? Please provide one example. Supervisor Endorsement Form Your supervisor endorsement form must come from your direct supervisor. You may upload the file here (preferred) or email it directly to Julia Barr at [email protected] The file should be no larger than 1MB and no longer than two pages. Supplemental Information How did you hear about this program?Please select... Partnership staff member Colleague Agency leadership Other Other GenderAgenderGenderqueerNonbinaryWomanManPrefer to not answerPrefer to self-describe Gender self-describe RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesPrefer to self-describePrefer not to answer Race self-describe EthnicityHispanic or LatinoNot Hispanic or LatinoPrefer not to answer Please check the box to acknowledge that by submitting this application you may receive emails from the Partnership for Public Service. You may unsubscribe at any time.I understand that the Partnership may send me emails. Save my progress and resume later | Resume a previously saved form Contact Information By submitting this application, you agree to receive emails from the Partnership. You may unsubscribe at any time.
