By applying for LEADx, you also apply for SIMULEX. You may apply for SIMULEX only, with a separate application form (see SIMULEX).
Registrations will close on June 7, 2019. Selected candidates will be notified by June 14th. Participation costs in LEADx have been waived thanks to our generous sponsors and partners, including all meals, dinners, and refreshments during the event. A limited number of scholarships will be made available for selected participants of LEADx. SIMULEX participants will be expected to cover their own transportation and accommodation costs.
Email address *
Full name *
Your answer
Country of citizenship *
Your answer
Country of residence
Your answer
City of residence *
Your answer
Current employer *
Your answer
Job title *
Your answer
Phone number (mobile) *
Your answer
Two references (full name, position, email) *
Your answer
Level of English (1 - poor, 4 - native) *
1
2
3
4
Fluency
Why are you who you are? (100 words or less)
Your answer
What are the top three things that can transform your community or country within 5 years? Explain (100 words or less)
Your answer
Describe a good leader in 3 words
Your answer
What bothers you most in your organization or country? (100 words or less)
Your answer
Complete a Social Media Post with 50 words or less
(should you be selected, this will appear in our social media interaction)
#LEADx Change: This century will be the beginning and the end of
Your answer
#LEADx Change: I’m making a difference in my community by
Your answer
#LEADx Change: My resume doesn’t mention this, but I’m passionate about
Your answer
Short Bio (100 words or less; should you be selected, this will appear on LEADx website) *
Your answer
Your LinkedIn or social media account (link)
Your answer
A limited number of scholarships will be available for LEADx. Would you be able to afford travel and accommodation? *
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This form was created inside of The United Nations Association of Georgia (UNAG).