Making Leadership Work Form

Name*

First Last

Email Address*

Country*

Name of the organization you are employed by*

Type of business/organisation*

NGO
Government
Training & Education
Private

What is your role in the organization ?*

How many people are you managing/supervising?*

0 - 20
20 - 50
50 - 100
100 +

How are you going to fund your course ?*

Self funded
Your organization will fund it for you

*There are no scholarships available for this course

I agree to pay the amount of 947€ to participate*

First Choice

Billing Address Line 1*

Billing Address Line 2

City/Town*

Postcode/Zip*

Email Address: Organization Contact Person*

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