Project Lead Entering Student Profile Form The Leaderhip Center at the MUB

Student Information
Name (required)
Graduation Year
Account ID (required)
{ initial of first + last name, i.e. "tbrady" }
Password
Campus/Local Address
GSS Box
Phone #
Cell Phone#
E-Mail Address
Student ID#
(required with no dashes)
Class: Freshman Sophomore TSAS 2nd year Junior Senior Other
Gender: Female Male Transgender
Sexual Orientation: Bisexual Gay/Lesbian Heterosexual Questioning
Ethnic/Racial Background: (Mark all that apply)
African-American /Black White /Caucasian
Asian /Asian-American /Pacific Islander Multi-racial /Bi-racial
Hispanic /Latino(a) /Spanish International
Native American /American Indian /Alaskan Native  
College:
College of Liberal Arts College of Life Science and Agriculture
College of Health and Human Services College of Engineering and Physical Sciences
Whittemore School of Business Graduate School
Thompson School of Applied Science Division of Continuing Education
Please complete the following short-answer questions/statements.

(1) Please describe what leadership means to you.

(2) What knowledge, skills, attitudes, and values do you feel are most critical to leadership?

(3) Based on your answer to Question 2, how would you currently evaluate yourself as a leader?
Please explain.

(4) What do you see as your areas for improvement in relation to leadership?
Please explain how you plan to work on these areas.

Competency Area

Please place a number from the scale below next to each Competency Area, indicating how well-developed you feel you are within each area.

1
2
3
4
5
6
7
8
9
10
Not
developed
within area
Somewhat
developed
within area
Strongly
developed
within area
Knowledge
Self-Awareness - greater understanding of individual strengths/weaknesses as well as personal preferences:
Cultural Competence - understanding your own cultural values, beliefs, and attitudes in relation to others:
Awareness of Ethical Perspectives of Leadership - recognition of the need for moral principles and standards within leadership roles:
Broader Definition of Leadership - understanding of various leadership concepts and viewing leadership as a process, not a position:
Skills
Organization -managing situations effectively and efficiently:
Communication - ability to articulate thoughts and feelings through verbal/non-verbal means:
Conflict Resolution - ability to reach amicable solutions despite differences and to serve as a mediator if necessary; problem-solving between people:
Creative Thinking - ability to consider alternatives to the norm:
Building Community - ability to work effectively in a group setting and to create a sense of connectedness between individuals:
Fostering Collaboration - encouraging teamwork:
Motivation and Empowerment - ability to motivate and empower self and others so as to mobilize the group to work towards change:
Goal Setting/Visioning - understanding the process, focusing on the future and change:
Attitudes
Accountability and Responsibility - holding self and others accountable for actions:
Willingness to Take Risks - not afraid to step outside of comfort zone; desire to challenge self and others:
Appreciation of Diversity - valuing different ideas, perspectives, and experiences of those different from yourself:
Openness to Ideas and Opinions of Others - willingness to listen to and consider the legitimacy of opposing viewpoints:
Self-Confidence - belief in your skills and abilities to make a difference:
Commitment to Lifelong Learning - desire to learn from every experience you encounter and to share knowledge with others; ability to make connections across contexts (i.e., connecting leadership to academics):
Values
Commitment to Leading with Ethics and Integrity - consistently aligning your actions with your beliefs and holding oneself to high moral principles and standards:
Sense of Social Responsibility - making decisions that benefit the common good:
Developing Respectful Relationships - valuing the human dignity of self and others:
Please share feedback or questions about this survey:
(5 line data limit or you can e-mail the administrator if longer)
Submit OK Check box if you are ready to submit the form.

 Copyright © 2004 UNH Memorial Union Building.