Conscious Leaders Network
This is the 2023 application for the Connecticut Chapter of Conscious Capitalism's Conscious Leaders Network.
Email *
Please tell us if an organization that referred you to our network (if none, leave blank.) 
Your Name *
Your Company *
Number of Employees *
Company Website *
Your Title/Role *
Your LinkedIn Profile *
What challenges / opportunities is your sector or industry currently facing?
What appeals to you about this program? What are your goals and/or how do you think Conscious Capitalism can help? *
Preferred way to contact you? *
A copy of your responses will be emailed to the address you provided.
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