Conflict Management Certification Application

Title

First Name*

Preferred Name

Last Name*

Job Title*

Organization*

Industry*

Mobile Phone Number*

Work Phone Number*

Email*

Birthdate*
University at Buffalo requires this information for record-keeping purposes only.

Please describe your current leadership role and share where you are in your leadership journey, including how long you’ve been leading and any key milestones. *

How is conflict currently showing up in your role, and how are you addressing it? *

What specific skills, insights, or outcomes are you hoping to achieve through this conflict management certification? *

Is there anything else that you would like to share with the UB Center for Leadership and Global Impact team?