Program Registration for Federal Human Capital Collaborative This form is for Federal Human Capital Collaborative member agencies to enroll employees in the Summer Virtual Emerging HR Leaders Forum. Questions? For alternative application options or other questions, please contact Leia Washington at [email protected]. DEADLINES Summer Virtual Emerging HR Leaders enrollment: June 11, 2021 Download the flyer Emerging HR Leaders Summer 2018 This form is for Federal Human Capital Collaborative member agencies to enroll employees in the Summer Virtual Emerging HR Leaders Forum. We will be accepting registrations for the programs on a rolling basis. Please see the deadlines above to ensure that you are registering your employee on time. Number of employees I am registering:Please select... 1 2 3 4 5 6 7 8 9 10 11 12 Employee #1 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #2 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #3 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #4 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #5 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #6 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #7 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #8 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #9 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #10 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #11 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Employee #12 The employee I am registering will participate in:Virtual Emerging HR Leaders Winter 2021Virtual Emerging HR Leaders Summer 2021 Participant Information First Name Last Name Agency or SubcomponentPlease select... Consumer Financial Protection Bureau Court Services and Offender Supervision Agency Defense Logistics Agency Defense Nuclear Facilities Safety Board 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 Labor Department of State Department of the Army Department of the Interior Department of Transportation Department of the Treasury District of Columbia Drug Enforcement Administration Environmental Protection Agency Federal Bureau of Investigation Federal Maritime Commission Federal Mediation and Conciliation Service Federal Trade Commission General Services Administration National Aeronautics and Space Administration National Institutes of Health National Mediation Board National Science Foundation Nuclear Regulatory Commission Office of Personnel Management Office of the Director of National Intelligence Office of the Under Secretary of Defense for Policy Peace Corps Securities and Exchange Commission U.S. Equal Employment Opportunity Commission U.S. International Trade Commission U.S. Patent and Trademark Office GradePlease select... GS-9 GS-10 GS-11 GS-12 Email HR CollaborativeYes Supervisor Information First Name Last Name Email The employee I am registering will need a reasonable accommodation(s) to fully participate in the programYesNo Submitter Information First Name Last Name Email Contact Information