Facilitative Leadership Course Application
Interested in joining the 2024 Facilitative Leadership Cohort? Take a few minutes to fill this in and I'll be sure to reach out within the week! All answers are confidential and seen solely by the course organizer.

If you prefer to respond to these questions in another format, please let me know by sending an email to dweinzveg@gmail.com . Thanks in advance for your candid input and genuine interest!
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What's your name? *
What's the best email to contact you? *
What's your current job title, industry, and years of experience? *
What do you hope to achieve by taking this course? *
What current challenges do you face in your role, and how do you envision this course will help you overcome these challenges? *
What accessibility needs should I be aware of (e.g. hearing or vision impairments)?
How will you be paying for this course (e.g. PayPal, invoice sent to your HR department, Bitcoin)? *
To help ensure diversity in the course, please share your a bit about how you identify (e.g. generation, gender, ethnicity):
How did you hear about this course?
Last step...Book an interview!
Please follow this link to find us a time to connect: https://calendly.com/dweinzveg/30-min
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