Leading From Within Registration • She Leads Change

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 the cohort you are signing up for:

Cohort B (Oct start) - Tuesdays 2.30-5.30pm 11th, 25th Oct, 8th, 22nd Nov, 6th and 20th Dec.

Cohort B (Oct start)

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
Large organisation
Changemaker Award

We have a limited number of Changemaker Awards available on each cohort. Could you please tell us why you need / would like to be considered?

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:

Large organisation with coaching incl. VAT

Price:

Large organisation no coaching incl. VAT

Price:

Changemaker Award

Price:

We will be in touch to discuss your application for a Changemaker Award.

Attendance commitment*

I commit to attending all sessions of the She Leads Change programme in person, as well as coaching (if taken up) and personal journaling, totaling approximately 10 hours per month. I understand that once I have signed up and secured my place on the Programme, I will be liable for the full amount and not be eligible for a refund should I cancel my commitment*

Email permission*

I agree that the organisers of She Leads Change can use the personal data I have provided to administer my participation in the programme and may contact me through my preferred contact means*

Privacy policy*

I have read and accept the She Leads Change privacy policy.*

Please select your payment method*

If you'd like to discuss a payment plan, please select the invoice payment method below and our team will be in touch.

Credit or Debit Card
Invoice

Invoice details*

Please provide the organisation invoice address and confirm if a supplier agreement or a purchase order numbers is needed in order to invoice your organisation.

Credit Card*

Card Details

Cardholder Name

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