Leading From With Application Form

Name*

First Last

Email*

Preferred contact number*

Organisation*

Role*

LinkedIn or CV*

What skills or experience can you offer on the programme?*

Leading From Within is a peer-learning programme, so we'd love to understand what we can learn from you.

What would make this programme a success for you?*

What is the positive change you are making in the world?*

The change you are making can be personal, organisational or systemic.

How can this programme support you in leading that change?*

How did you hear about Leading From Within?*

Please confirm your cohort:*

Cohort A - Tuesdays 5.30-8.30pm 12th Oct, 26th Oct, 9th Nov, 23rd Nov, 7th Dec, 21st Dec and 18th Jan

Cohort A - Tues 17:30 - 20:30 (GMT)

Please select the type of place you need*

We would like She Leads Change to be accessible to all. We offer flexible payment options and make limited sponsored and part-sponsored places available. Please do contact us if you'd like to sponsor a place or discuss flexible payment. You may also apply for a sponsored place by selecting that option below.

Self-funded
Non-profit / social enterprise / start up
Corporate
Sponsored

Would you like to take up the coaching sessions?*

Coaching (recommended)
No coaching

Self-funded no coaching incl. VAT

Price:

Self-funded with coaching incl. VAT

Price:

Non-profit / social enterprise / start-up no coaching incl. VAT

Price:

Non-profit / social enterprise / start-up with coaching incl. VAT

Price:

Corporate with coaching incl. VAT

Price:

Corporate no coaching incl. VAT

Price:

Register for Leading From Within Autumn 2021

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