WLC Spring Application

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WLC Spring Application

"*" indicates required fields

Thank you for your interest in the WLC Spring Program. Please complete all questions and click the "Submit" button.

1. Choose preferred program: (Please note: Only the Wednesday Program is available to new participants):*

Wednesday Program

GENERAL INFORMATION

2. Name and Contact Information*

First Last

Job Title*

Company Name*

Email*

Phone*

3. Mailing Address for Course Materials*

Street Address Address Line 2 City State ZIP Code

4. How did you hear about the Wholistic Leadership Circles Program (WLC)?*

PROFESSIONAL AND EDUCATIONAL EXPERIENCE

In this section, please share relevant work and education experience that may be helpful for us to know as we consider your application

5. How long have you worked at your current organization?*

6. Briefly describe your role and responsibilities in your current work.*

7. Do you manage / have you managed a team?*

Yes

8. How many years of management / leadership experience do you have?*

9. Educational Degrees (e.g. Undergraduate, Masters, Doctorate).*

10. Primary area(s) of study (e.g. Liberal Arts, Science, Business, etc.)*

11. What gives you the greatest sense of pride in your life and/or work? Why?*

12. What are your current challenges in life and/or work?*

PERSONAL REFLECTIONS

In this section, we welcome you to share as much as you feel comfortable about experiences you have had that contribute to your interest in this program.

13. We find that every person participates in a WLC in a slightly different way, by bringing their unique gifts. How do you envision contributing to the group given your strengths and passions?*

14. Why is this program of interest to you at this time?*

15. What do you hope to gain from participating in the WLC?*

16. What experience(s) have you had with 1:1 coaching and/or leadership development?*

17. Have you had experience with wholistic leadership groups? If so, please describe your experience(s).*

18. Describe any specific interest or passion you may have about wholistic leadership.*

19. Are you a parent?*

Yes

If yes, please indicate the number of children and the ages of your child(ren).

20. If there is something we haven't asked that you feel is important for us to know about you, please let us know in the space below.

WLC Spring Application

GENERAL INFORMATION

PROFESSIONAL AND EDUCATIONAL EXPERIENCE

PERSONAL REFLECTIONS

© Wholistic Leadership Circles
All rights reserved.

WANT TO STAY CONNECTED?

CONTACT US:

Wholistic Leadership Circles
ipek@isconsultingco.com
p: 415.305.9184
Mill Valley, CA

SOCIALS:

Designed by Softkind

WLC Spring Application

GENERAL INFORMATION

PROFESSIONAL AND EDUCATIONAL EXPERIENCE

PERSONAL REFLECTIONS

© document.write(new Date().getFullYear()) Wholistic Leadership Circles All rights reserved.

WANT TO STAY CONNECTED?

CONTACT US:

Wholistic Leadership Circles ipek@isconsultingco.com p: 415.305.9184 Mill Valley, CA

SOCIALS:

Designed by Softkind

© Wholistic Leadership Circles
All rights reserved.

Wholistic Leadership Circles
ipek@isconsultingco.com
p: 415.305.9184
Mill Valley, CA