Women Leading Broward Class VI
Email address *
Name *
Your answer
Name of Company *
Your answer
Current Title *
Your answer
Phone Number *
Your answer
Mailing address. Please note if home or business. *
Your answer
Have you been in a management position for at least 3 years? *
How long have you been in your field of work? Were you in another field of work prior to this, if so, for how long? *
Your answer
Please describe your management role and responsibilites. *
Your answer
What is your biggest challenge in managing people? *
Your answer
What do you want to get out of the program professionally? *
Your answer
What do you want to get out of the program personally? *
Your answer
In order of importance, please rate: • Self-growth •Networking •Development of Leadership Skills *
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How long have you held your current position? *
Your answer
What is one of your PROFESSIONAL accomplishments of which you are most proud? *
Your answer
What is one of your PERSONAL accomplishments of which you are most proud? *
Your answer
Have you participated in any other Leadership Broward Foundation program? *
Are you a graduate of Leadership Broward? *
Yes or No. If yes, please add class number or year.
Your answer
Can you confirm that you will be able to attend the orientation and five sessions? Orientation is January 7, 2019 from 5:30 pm until 7pm. Program days are from 8:30am until noon. *
Please list your educational background *
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Please provide 2 references with whom you have worked or volunteered with in the past year. Please put name, email, phone number and relationship. *
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How did you learn about Women Leading Broward? *
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