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HEAL Academy Global Majority Leaders Application Form
Please complete all sections of this form to apply for the HEAL Academy Global Majority Leaders program.
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Email
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Your email
Full Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Location (City, Country)
Your answer
Organisation (optional)
Your answer
Current Role / Job Title
Your answer
Years of Experience in a leadership or relevant role
Choose
Less than 1 year
1 - 3 years
4 - 7 years
8 - 12 years
13+ years
Tell us about your leadership journey. What experiences shaped your leadership? (Max 300 words)
Your answer
Describe a time you navigated bias, inequality or systemic challenges. What did you learn? (Max 300 words)
Your answer
Motivation & Purpose - Why do you want to join HEAL Academy? (Max 250 words)
Your answer
What change do you want to create at organisational or sector level? (Max 250 words)
Your answer
Healing & Leadership Readiness - What healing or growth areas are you currently working through?
Setting healthy boundaries
Managing imposter syndrome
Processing past trauma/burnout
Improving self-compassion
Developing emotional regulation
Other (Please specify in the text box below)
None/Not applicable
Other healing or growth areas (if applicable)
Your answer
What personal practices or support systems ground your leadership? (e.g., meditation, mentor, therapy, community, exercise)
Your answer
Can you commit to full participation in the retreats, coaching, supervision, secondments and masterclasses?
Yes, I can commit fully.
Yes, with minor flexibility required (please explain below).
No, I cannot commit to all components.
Clear selection
Please explain any commitment limitations (if applicable)
Your answer
Do you have organisational support (e.g., time off, funding, endorsement) for your participation?
Yes, fully supported
In discussion/partial support
No support required or applicable
No, currently no organisational support
Clear selection
Accessibility & Wellbeing - Please share any access needs or adjustments required for retreats, masterclasses, or other activities.
Your answer
Send me a copy of my responses.
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