WOCIP Global Leadership Accelerator Program Application
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Personal Mailing Address 1 *
City *
State *
Zip *
Country
Cell phone number *
Personal e-mail address *
LinkedIn Account *
Are you a current member of WOCIP? *
How many years have you been in the industry *
Company Name *
Current Title *
What best describes you?
Clear selection
Do you have cross functional/team leadership responsibilities?
Clear selection
Are you a manager of people? *
If you are a manager of people, how many?
What appeals to you most about this leadership program? *
What are you looking to gain professionally from participating in this program? *
Have you ever been a part of a structured leadership program that included group coaching and/or individual coaching? *
If yes, tell us about it?
I understand that to complete my application I will need to send my resume, headshot and a short 30 second (max) video answering the question , "What has been your greatest success of 2020?", to gla@wocip.org no later than December 30 at midnight eastern time. *
Thank You!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Women of Color in Pharmaceuticals. Report Abuse