Application | oikos LEAP 2017/2018

Deadline: 27th of August, 2017

Gender *

Male

Female

Other:

First Name *

Last Name *

Email Address *

Mobile Phone Number

Please add your country code (e.g. +44 for UK)

Date of Birth

Date

Country of Residence *

Nationality *

Chapter *

Your Role in Your Chapter *

President

Chapter Board Member

Chapter Member

International EB member

Alumni

Other:

About you

Please share why participating in oikos LEAP at this moment in your life is beneficial and/or necessary. *

Please describe your involvement in your chapter and how you think that your participation in LEAP will improve your chapter's performance. *

Please describe a moment when you truly learned something new about yourself and challenged your worldview. *

Are you committed to a 9-month journey: At least 4 hours per month on webinars, reflections, individual coaching and peer2peer discussions + 2 onsite meetings in October 2017 and in March 2018? *

Hours invested in the practice part of oikos LEAP vary according to participants’ individual engagement in their chapter or community. The Mid-Term Meeting in March 2019 is dependent on available resources and will be confirmed in 2018.

Yes

Logistics

During your stay at the LEAP Meeting (7th - 11th of October, 2017), what type of room would you like to have? *

Single-gender

Multi-gender

No preferences

I would like the following meal option

Vegetarian

Vegan

Meat/Poultry

Other:

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Any Special Requirements (disability, allergies and etc)

Information for Invitation Letter (only if you need a visa to enter Switzerland)

Please let us know the following information: passport number; Swiss Embassy/Consulate in your country of residence (address; Fax; Email)

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