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WOCIP Global Leadership Accelerator Program Application
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Personal Mailing Address 1
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Country
Your answer
Cell phone number
*
Your answer
Personal e-mail address
*
Your answer
LinkedIn Account
*
Your answer
Are you a current member of WOCIP?
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Yes
No
How many years have you been in the industry
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Less than 5 years
5-8 Years
More than 8 Years
Company Name
*
Your answer
Current Title
*
Your answer
What best describes you?
Individual Contributor
Managerial Responsibilites
Clear selection
Do you have cross functional/team leadership responsibilities?
Yes
No
Clear selection
Are you a manager of people?
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Yes
No
If you are a manager of people, how many?
Your answer
What appeals to you most about this leadership program?
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Your answer
What are you looking to gain professionally from participating in this program?
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Your answer
Have you ever been a part of a structured leadership program that included group coaching and/or individual coaching?
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Yes
No
If yes, tell us about it?
Your answer
I understand that to complete my application I will need to send my resume, headshot and a short 30 second (max) video answering the question , "What has been your greatest success of 2020?", to
gla@wocip.org
no later than December 30 at midnight eastern time.
*
Yes, I understand.
Thank You!
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