Leadership Excellence for Acquisition Professionals Program Application • Partnership for Public Service

Program information

*Please note, many agencies have specific application guidelines for their employees. Before submitting your application, please make sure that you are following your agency’s internal guidelines and that you have permission from your agency’s leadership to participate in this program.

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 Diana Starkes at DStarkes@ourpublicservice.org or call (202) 292‑1014.

Personal Information

Salutation

First Full Name

Middle Name or Initial(s)

Last Name

Nickname

Job Title

Occupation

Federal Department or Agency

Organization (what you would put on your leave form)

Work Phone

Mobile Phone

Home Phone

Preferred Phone Number

Work Email

Personal Email

Preferred Email Address

Work Address

Address Type

Street

City

State

Zip Code

Country

Home Address

Address Type

Street

City

State

Zip Code

Country

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Supervisor Information

Salutation

Supervisor First Name

Supervisor Last Name

Supervisor Job Title

Supervisor Work Phone

Supervisor Work Email

Supervisor Street

Supervisor City

Supervisor State

Supervisor Zip Code

Country

Professional Experience and Objectives

Total years with current agency

Total years of government service

Total years of Federal Contracting experience

Must be a whole number, no text allowed

Total years of experience in the Acquisitions field

Must be a whole number, no text allowed

GS Level or Equivalent

Do You Supervise...

PeopleProjectsNone of the Above

Please describe the projects you supervise:

Number of employees you supervise

Professional Objectives

Describe your short- and long-term career objective(s). Why is leadership development important at this point of your career? Limit 300 words.

List name, date attended and provider of any other leadership, management or other programs you have participated in over the last five years. Limit 300 words.

Why have you chosen to apply for this program? Describe one thing you hope to take away from it. Limit 300 words.

Are you interested in applying to the Senior Executive Service?

Current Certification Level

Please indicate below if you would like to attend the program in person or if you would prefer to join virtually. Your selection will be used to assign you to a cohort accordingly and we will not be able to accommodate any changes to cohort assignments once the program begins. If you have not already done so, please review additional details on our approach and in-person safety guidelines here.

VirtualIn person

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 Jennifer Benbow at jbenbow@ourpublicservice.org. The file should be no larger than 1MB and no longer than two pages.

Tuition Payment Information

Please make all checks payable to Partnership for Public Service, Inc., and remit to company address. If you wish to pay by credit card or wire transfer, or for any other questions, please call the Partnership Finance Department at 202-996-5288 or email invoice@ourpublicservice.org.

Intended form of payment, if known

ACH Wire TransferCheckPurchase OrderCredit Card

Purchase Order Number (PO#)

Please attach any payment document (e.g., SF182) below:

Check this box if you do not currently know your agency's Payment Point of Contact information

Agency Payment Point of Contact (POC) Information

Payment POC name:

Payment POC email address:

Payment POC phone number:

12 characters left.

Supplemental Information

How did you learn about this training program?

Did you go through an internal agency process?

YesNo

Once accepted into this program, your non-refundable tuition payment will be required before the program start date. If you can no longer attend, you may defer your program registration for up to one year. For any questions or concerns about making payment before the program start date, please contact our accounting team at invoice@ourpublicservice.org.

Limited spots are available. If the program is full at the time of your application, you will be placed on a waitlist or automatically enrolled in the next cycle. Our team will keep you updated about your enrollment status.

Contact Information

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