Preparing to Lead Application • Partnership for Public Service

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 Janira Garcia at jgarcia @ourpublicservice.org or (202) 899‑1367 for alternative application options.

Preparing to Lead

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Personal Information

Salutation

First Name

Last Name

Job Title

Occupation

Department or Agency

Other Department or Agency

Subcomponent

Office or Work Unit

Work Phone

Mobile Phone

Home Phone

Preferred Phone Number

Work Email

Personal Email

Preferred Email Address

Address Type

Street

City

State

Zip Code

Address Type

Street

City

State

Zip Code

Professional Experience and Objectives

Total years with current agency

Total years of government service

GS Level or Equivalent

Describe your current job responsibilities. Limit 300 words

What are the top leadership development goals you are trying to pursue? Limit 300 words.

What do you hope to gain as a result of this training program? Limit 300 words.

Resume

Please attach your resume in .pdf, .doc, .docx or .txt format. Your file should be no larger than 1MB and no longer than three pages.

Supervisor Information

Salutation

First Name

Last Name

Job Title

Phone

Street

City

State

Zip Code

Supervisor Endorsement Form

Upload your signed supervisor endorsement form.

Supplemental Information

How did you learn about this training program?

Gender

Race/Ethnicity

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Contact Information

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