JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Leadership Academy Online Registration Form 2022
Welcome to the Online Course of Leadership Academy!
Please, complete a simple registration so we know basic data about you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name, surname
*
Your answer
Country, city
*
Your answer
Organisation you represent
*
Your answer
Your role, position in the organisation you represent
*
Your answer
Webpage of the organisation you represent
Your answer
Date of birth
*
Your answer
Gender
*
Female
Male
Self-defined
Other:
Why have you decided to take this course? What are your expectations?
*
Your answer
Do you have any idea of a socially relevant project you are going to design and implement? If yes, please, describe shortly. There will be an opportunity for mentors' support if you need our help in the process of design.
*
Your answer
What are your intentions about the Voluntary Donation for the Course?
*
I will donate myself
The organisation I represent will donate for me
We will split the donation amount (partly myself, partly organisation)
Myself and my organisation are in a very difficult financial condition and we are not able to donate
Anything else you want to tell to the organisers of the course?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report