Program Registration for Federal Human Capital Collaborative • Partnership for Public Service

DEADLINES

Winter enrollment: January 6, 2023

Questions?

For alternative application options or other questions, please contact Corey Cooper at [email protected] or (202) 750-4394.

This form is for Federal Human Capital Collaborative member agencies to enroll employees in the winter Emerging HR Leaders Forum.

Emerging HR Leaders Summer 2018

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This form is for Federal Human Capital Collaborative member agencies to enroll employees in the winter 2023 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:

Employee #1

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #2

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #3

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #4

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #5

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #6

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #7

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #8

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #9

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #10

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #11

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Employee #12

The employee I am registering will participate in:

Emerging HR Leaders Winter 2023

Please indicate below if the employee will attend the program in person or virtually.

VirtualIn person

Participant Information

First Name

Last Name

Agency or Subcomponent

Grade

HR Collaborative

Yes

Supervisor Information

First Name

Last Name

The employee I am registering will need a reasonable accommodation(s) to fully participate in the program

YesNo

Submitter Information

First Name

Last Name

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Contact Information

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