Leadership Reading Circle Registration Form, Fall 2013 Name: ___________________________________________ Z Number: _____________________________ Email Address: _____________________________________ Phone Number: __________________________ Major(s)/Minor(s): ___________________________________________________________________________ Do you need any special accommodations? ________________________________________________________ Please select which reading circle you are interested in participating in. Students are allowed to participate in no more than 2 reading circles. _____ Book: Lean In: Women, Work, and the Will to Lead by S. Sandberg Faculty: Dr. Rhonda Goodman Dates: Wednesdays: Sept 25; Oct 9, 23; Nov 6 Location: College of Nursing, Rm 209 Time: 3:00 – 4:00 pm _____ Book: Lean In: Women, Work, and the Will to Lead by S. Sandberg Faculty: Alicia Keating Polson Dates: Tuesdays: Sept 17; Oct 1, 15, 29; Nov 12 Location: VIP Room, Barry Kaye Auditorium Time: 5:00 – 6:00 pm _____ Book: Choosing Civility: The Twenty-five Rules of Considerate Conduct by P.M. Forni Faculty: Alicia Keating Polson Dates: Mondays: Sept 23; Oct 7, 21; Nov 4, 18 Location: Queen Palm Room Time: 4:00 – 5:00 pm _____ Book: Soul of a Citizen: Living with Conviction in Challenging Times by P.R. Loeb Faculty: Dr. Patricia Darlington Dates: Mondays: Sept 23, 30; Oct 7, 14, 21, 28 Location: Majestic Palm Room A Time: 4:00 – 5:00 pm _____ Book: The Student Leadership Challenge by Kouzes and Posner Faculty: Katie Burke Dates: Tuesdays: Oct 1, 8, 15, 29; Nov 5, 12 Location: TBD, Boca Raton Student Union Time: 12:00 – 1:00 pm _____ Book: Start With Why by Simon Sinek Faculty: Katie Burke Dates: Wednesdays: Oct 2, 9, 16, 23, 30; Nov 6 Location: TBD, Boca Raton Student Union Time: 11:00 am – 12:00 pm All reading circle locations will take place on the Boca Raton campus.