Application form

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Application form

Thank you for your interest in the Impact Strategy Programme! You may be asked to jump on a discovery call so we get to know each other and determine if you're a good fit prior to joining the group!

Email *

Your name *

Website / URL

Your private social media account (at least one)

What is the best way to contact you? Please provide a valid email (if different that the one above)

Where do you currently call home? *

What best describes your working life? *

Employee in a large organisation/multinational/corporation

Employed in a large organisation but looking to start my own business ASAP

Working in a SME

Entrepreneur / Founder

Working in a startup

What is your experience? *

2 - 5 years experience

5 - 10 years experience

10 - 15 years of experience

15 + years of experience

Founder

Student (this programme is not for students)

What is ONE "major thing" that is holding you back? *

Any questions you have?

Would mornings or evenings work better for you? *

Mornings

Evenings

It doesn't matter

It depends on the days

Other:

Please provide a link to your 60-90 seconds video (max). You may add a YouTube link (with password if any), dropbox, google drive or so. Include your name, what you do, your goals (why you want to join), your current challenge(s), your and any outstanding points. *

How did you hear about the impact strategy programme?

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