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Leader Lab Application
Please answer the questions to help determine your eligibility to join Leader Lab ONLINE.
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Your cell phone number
*
Your answer
What is your position as a leader?
Your answer
How would you describe your current employment situation?
*
Established and planning to stay in my current company
Established and planning to transition out of the company in the next few years
In transition from my last position to a new company
In transition to entrepreneurship
Other:
Are you an individual contributor or supervisor? How many people do you supervise?
*
Your answer
What is a current leadership challenge you are experiencing?
*
Your answer
Who referred you to this program?
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Your answer
What else would you like me to know about you
*
Your answer
With full transparency, the one time fee for this program is $2947. Can you afford either a one time payment or monthly payments of $267 for one year?
*
Yes
No
Other
I would need financial help to join.
Other:
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