Booking - Better Leaders Lab

Personal Information

First, we want to start by asking you for some demographic information.

First Name *

Last Name *

What are your Pronouns *

He / Him
She / Her
They / Them

What is the name of your organization? *

What is your role within the organization? *

Phone Number *

Email Address *

What is your personal address?

Address *

Address line 2

City / Town *

State / Region / Province *

Zip / Post Code *

Country *

Your Motivation

We'd love to know more about why you want to take part in this course. We are very proud to deliver best-in-class executive education programs, so it is crucial that your motivation fits into our course design.

Please tell us more about your current role and responsibilities as a leader. *

Why do you want to take the course, and what do you hope to get out of it? *

Are there any specific parts of the course that particularly intrigue you? *

Payment Information

Finally, we need a bit more information on course payment details. After receiving your application we will get back to you within 10 days and let you know if you’re accepted into the course. You will then receive the payment details via email.

How do you want to pay the course fee? *

I'll pay for it myself
My company will pay
Another organization will be paying

What is the correct company name for the invoice? *

What is the company address? *

Who is the contact person in your organization for invoicing? *

If you are in a country that has VAT numbers: What is the company VAT number for the invoice? *

What email address should we send the invoice to? *

Do you have a discount? *

No discount
Early Bird

Scholarship

We have a limited number of full scholarships available. These scholarships, brought to you by the Better Leaders Academy Equity Fund, will cover the full course fee for one or several participants who: - Work in small and / or emerging organizations that strive to serve communities that are often overlooked - and / or: are themselves from a demographic, a socio-economic background or a country that is not equally represented in leadership - and / or: are self payers who experienced social hardship

Do you want to apply for a scholarship? *

No
Yes

Please tell us a little bit about why you deserve a scholarship. *

If you don't receive a scholarship, will you nevertheless be able to attend the course? *

Yes
No

Validate Email

Registration

Pathfinder: Owning Your Leadership Journey