Collective Impact Programme Application • She Leads Change

Name*

First Last

Email*

Contact telephone*

Organisation*

Type of organisation*

Self-employed
Micro- charitable or non-profit organisation (<10 employees)
Micro-business (<10 employees)
Established charity or non-profit organisation
Small or medium sized business, including social enterprises
Public sector organisation
Corporation

Your role*

(Note: we know this isn't just about titles - change can be led by anyone, and at all levels.)

Your LinkedIn profile

If your LinkedIn profile isn't updated, you may wish to upload your CV here

Accepted file types: pdf, Max. file size: 16 MB.

Note, for security you may only upload PDF files. Thank you.

How did you hear about this programme?

Please tell us a bit more about you and your interest in joining the Collective Impact Programme

What is the positive change you are making (or would like to make) in the world?*

What are some of the barriers you currently face in making this change?*

How might the Collective Impact programme support you?*

What 'live' collaboration challenge or inquiry would like to bring to the programme to explore? Tell us about it, or let us know if you'd like some support to identify some possibilities.*

What would make this programme a success for you, professionally?*

What would make this programme a success for you, personally?*

What skills and experiences would you like to offer on the programme (as part of co-creation and peer-learning)?*

Application type

She Leads Change is a non-profit project that is committed to making our programmes accessible to a diverse group of change-makers. We rely on enough participants in each fee bracket to enable sponsored places on our programme for women who represent or work with grassroots or under-represented communities.

Commitment*

I commit to attending all in-person and virtual sessions of the Collective Impact programme, as well as scheduled 1:1 coaching sessions, unless exceptional circumstances prevent me from doing so. I also understand that I will get most value from the programme by committing an additional half to one day a month to reflect / prepare for sessions (this will vary depending on content of sessions).

Please indicate the type of application you'd like to make.

Individual / self-funded
Micro-organisations: less than 10 employees
Non-corporate organisations: including public sector, non-profits and social enterprises
Corporate organisations
I'd like to apply for sponsorship

Prices inclusive of VAT.

Total

£ 0.00

Select prefered payment option(s)*

My organisation will sponsor my participation
I intend to self-fund the full course fee
I'd like to discuss a payment plan
I'd like to apply for a partial or full sponsorship
I or my organisation would like to contribute and sponsor other women on the programme

You may select more than one.

Please select your payment method*

Invoice
Credit or Debit Card

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

Refund policy*

I understand that once I have signed up and secured my place on the Programme, I will be liable for the full amount. A refund will not be available should I cancel my commitment, although we will make every effort to explore alternative arrangements with you (e.g. find someone else to take your place, etc).*

Data Consent*

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.*

Consent*

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

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Name

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Leading Collective Impact

Please tell us a bit more about you and your interest in joining the Collective Impact Programme

Application type

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