CLG Regional Forum Application
For Forums beginning in August 2018.

It’s fantastic that you’re interested in joining a CLG Forum. We put together forums of peers based on affinity. Please answer the questions below so we can get to know you, see if you're a match, and if so, to find the right group for you.

After we receive your responses, we'll contact you to let you know if you're a potential match. If you are, we'll set up a 20 minute interview call.

Email Address *
Your answer
Name *
Your answer
Where do you live? *
Your answer
What is your age? *
Your answer
Title *
Your answer
Company *
Your answer
Website *
Your answer
How many people work at your organization? *
Your answer
How many people work for you? *
Your answer
Do you have PnL responsibility? *
If you do have PnL responsibility, what is the yearly amount?
Your answer
Why is being a conscious leader important to you? *
Your answer
What experience do you have with personal development and self-awareness? *
therapy, counseling, coaching, mindfulness training, others Forums, etc.
Your answer
What experience do you have with the 15 commitments of conscious leadership? *
(read the book, coaching, company consulting, etc)
Your answer
Why are you specifically interested in joining a CLG Forum? *
Your answer
What do you hope to get out of the experience? *
Your answer
Tell us in two sentences why you will be a net positive impact to a forum of peers; what is the special gift you bring?
Your answer
Agreements
There are a few agreements that we ask that you make with the group as a requirement for joining a CLG Forum.

1) Attend 8 out of 10 meetings
2) Attend the 2.5 day retreat
3) Have a ½ hour call with your learning partner week
4) Post your weekly update and responses to updates on the discussion board by Sunday at 8:00PM
5) Have a 10 minute meditation practice 5-7 days a week

Are you willing to honor these agreements? *
Your answer
Commitments
There are two commitments about how you show up that are a requirement for joining a CLG Forum.

1) To be deeply curious and willing to question all of your beliefs
2) To commit to giving and receiving direct feedback with peers and the facilitator

Are you willing to make these commitments? *
Your answer
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