Leadership@Play 2024 Application Form
If you are interested in  participating in this course, please fill out the following form and a Play CoLab representative will get back to you to arrange a 30 minute meeting (virtual or face to face). Group curation is critical to our work and this form helps us in this process.  Know that filling out this form is obligation-free for both parties. 

The information will be confidential to yourself and Play CoLab.
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Email *
Participant name *
Date of birth *
Phone number(s) *
Current organisation and current role  *
How did you hear about this course? (Leadership@Play is usually recommended by course alumna)
QUESTIONS
Please reflect upon and answer the questions below...
What previous leadership development or professional development have you had (including coaching)? *
What was the impact of that?
What is it that really calls you to do this course? And why now? (Include what you may have heard about it) *
Recent research shows that the world's most effective leaders have high levels of self-awareness and self-mastery. This requires a commitment to on-going personal development. On a scale of 1-10 where would you place yourself regarding your openness to change/grow/shift? *
not ready and unwilling
ready and willing
Complete this sentence:  "If I don't do this course I would...."
Please explain your rating *
How open will you be to receiving supportive and constructive feedback within the group setting? *
not open
very open
Please explain your rating *
What do you believe might be the greatest challenge for you of entering a programme such as this?   *
Thank you
We'll be in touch over the next couple of days to set up a time for a conversation.
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