United Academy Action Plan Your Name*Please enter your name as you'd like it to appear on your certificate of completion. Enter any prefixes, suffixes, or middle initials along with first or last name. First Last Email* Enter Email Confirm Email Your Accountability Buddy's First and Last Name: United Academy Class:*Select the class dates that you participated in the United Academy. Class 1: January 28-29Class 2: February 11-12Class 3: February 18-19Class 4: February 25-26Class 5: March 11-12Class 6: March 18-19Personal GoalsHow will you integrate the lessons you've learned during the United Academy into your personal life? Personal Goal 1 Action Steps for Goal 1 What are the steps you'll need to take to be successful? Outcomes for Goal 1 What will be the evidence of your success once you've met your goal? Personal Goal 2 Action Steps for Goal 2 What are the steps you'll need to take to be successful? Outcomes for Goal 2 What will be the evidence of your success once you've met your goal? Personal Goal 3 Action Steps for Goal 3 What are the steps you'll need to take to be successful? Outcomes for Goal 3 What will be the evidence of your success once you've met your goal? Professional GoalsHow will you integrate the lessons you've learned during the United Academy into your professional life? This could be in your workplace and/or an organization where you volunteer. Professional Goal 1 Action Steps for Professional Goal 1 What are the steps you'll need to take to be successful? Outcomes for Professional Goal 1 What will be the evidence of your success once you've met your goal? Professional Goal 2 Action Steps for Professional Goal 2 What are the steps you'll need to take to be successful? Outcomes for Professional Goal 2 What will be the evidence of your success once you've met your goal? Professional Goal 3 Action Steps for Professional Goal 3 What are the steps you'll need to take to be successful? Outcomes for Professional Goal 3 What will be the evidence of your success once you've met your goal? Mailing Address*Where would you like us to send your certificate of completion and United Academy book? Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CAPTCHA
