What are you interested in?
You may select more than one
Please select...
HERS Leadership Institute
Next Stages Next Steps Workshop
Other-please provide specific request below
Other:
Which HERS Leadership Institute format interests you the most?
Please select...
9-Day Intensive Format
Weekend Format
How did you hear about us?
Please select...
Marketing (advertisement or online)
Alumna Referral
Someone from my institution
HERS Event/Reception
Trade Show
Other
Name and Contact Information
First Name
Last Name
Email
Phone Number
Employment Information
Name of Current Institution
Current Role
Please select...
Administration
Assistant Professor
Assistant/Associate Dean
Assistant/Associate Director
Assistant/Associate Provost
Assistant/Associate Vice Chancellor
Assistant/Associate Vice President
Assistant/Associate Vice Provost
Assistant/Associate/Co-Chair
Associate Professor
Chair
Chancellor
Dean
Director
Full Professor
Head
Instructor/Lecturer
President
Provost
Staff
Vice Chancellor
Vice President
Other
Vice Provost
Select the best fit from the dropdown list
If you selected "Other," please provide your role here.
HERS Contact Information
HERS (Higher Education Resource Services)
1901 E. Asbury Ave.
Denver, CO 80208
(303) 871-6866
HERS@HERSNetwork.org
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information
