University of Minnesota
Office of Human Resources

UP! Circles Application Form

There is a $50 fee to cover materials and program costs. A very limited number of waivers will be available. Waiver process.

Materials are due Friday, January 11, 2013. The program steering committee will review applications and contact applicants regarding their confirmation to participate by January 16. Cohort will be limited to 50 participants.

Incomplete applications will not be considered.

The application information provided below will assist the Program Steering Committee with matching small groups. Please provide information about your professional and personal background and interests. As you complete the application, try to limit your responses to 100 words or less where applicable.

Applicant Contact Information

Present Position

Employee Group

Supervisor's Endorsement

A supervisor's endorsement is required. Please indicate the person who will complete the Supervisor Endorsement form (pdf). Endorsement should be mailed to Organizational Effectiveness, 200 Donhowe Building, or sent as a scanned document attachment in an email to

Group Registration

A group or match option is available for applicants who would prefer to be with another person(s) in a small group. This feature is optional.

Group Composition Preference

About You

For the following questions, please limit responses to 100 words or less.

Thank you for submitting your application to UP! Circles. You will be contacted by a member of the Program Steering Committee with introductory information in December. Information about the University Professional Circles is also available in alternate format by request.