Northern Pike: A Young Leaders Retreat – Application Form
Our selection process ensures we have a blend of personalities, industries, experience levels, diversity and perspectives. Among our cohort are a variety of engaging individuals: accomplished business leaders looking to make an impact, nonprofit leaders with a dramatic vision for change, entrepreneurs planning new models for business growth, young professional community builders wanting to lead the future and artists inspiring creativity. Please keep these qualities in mind as you apply and invite others.
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Name *
Email Address *
Phone Number *
Age *
Gender *
What city do you live in? *
What is your profession? *
What company do you work for? *
What have you created in your community? *
What is a special talent that you could contribute to this group? *
If you had ten minutes to give a TED Talk, what would you want to share? (Optional)
Would you prefer a quiet room or a social room? *
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