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(Your Name) Goals: How To Use This Document?
(Your Name) Goals: How To Use This Document?
Instructions:
Work to complete this form. It Is more important to have the Goals portion answered first. Incorporate the Leadership Traits (complete list below)
in your SMART Goals. Those who complete the Leadership Training and Orientation Program 1 (LTOP 1) may use the Leadership Development
Planner to help frame goals. Please Note: This tracker is expected to change and adapt to the applicant’s shifting life.
(In the future, you can have the Mentor review and edit this Goal Tracker with you later. The fields, ‘Action Plan, Deadline, Notes’, etc. can also
be reviewed/edited with your Mentor.)
1
[Applicant’s Name] Goals!
I filled out this worksheet and set my goals on [DATE] (Optional: with my Mentor [NAME]).
WORK
COMMUNITY
FAMILY
(OPTIONAL)
Short Term Goals:
Short term goals act as a stepping stone to reach her long-term BIG goals. It can be completed within 8 months or shorter.
Focus on achieving 2 - 3 goals in 8 months or shorter to make sure your efforts are attainable in the time allotted.
PROFESSIONAL Goal Action Plan Deadline Notes - Accomplishments, Leadership
GOALS Challenges Trait(s)
SCHOOL
WORK
MYSELF
COMMUNITY
FAMILY
(Optional)
Smart Goal Tracker
The seven Leadership Dimensions encompass key Traits, acting as a guide to develop and evaluate leadership skills. 4
Smart Goal Tracker
Example Goals!
10-year VISION in your own words: I would like to be a leader in the Public Health field
I filled out this worksheet and set my goals on [January 20, 2015] (Optional: with my mentor [Daisy Pulsab].)
5
Smart Goal Tracker
Drives others to
take action
6
Smart Goal Tracker
SCHOOL Study 1. Create a list of 10 universities with public 1. Feb. 16 Takes initiative
undergrad at a health programs that I want to apply to ● Feb 10 - Applied to
university in 2. Contact universities for more information 2. Feb. 20 AUW, Chiang Mai Perseveres
public health or & scholarship options University and
nutrition by Fall 3. Create a list of 15 scholarships I can 3. Feb. 5 University of California
apply to Berkeley.
7
of 2015 with 4. Apply to scholarships 4. June 2015
scholarship. 5. Ask the nurses at my high school for
general ideas on nursing or universities 5. Next Mon.
that they know (people at the clinic)
6. Apply to universities 6. March 2015
WORK
Volunteer 1. Find a volunteer project. I am available for 3 3 hours/week ● Apr 5 - Found a Inclusion and
COMMUNITY: hours/week volunteer project with engagement
Change Public Women in Health with various
Health Policy organization! Start communities
volunteering next and faiths
Monday!
Propensity for
civic
engagement
Stay in touch Call my family once a week. Set up an alarm Once/week ● Apr 30 - I helped my Motivates and
FAMILY: Support with my family reminder to call my family. sister get into a free supports the
my family to have a to make sure college prep empowerment
better life they’re ok organization! of others
Drives others
to take action