CQ Fellows
An elite fellowship of thought leaders working together to build cultural intelligence
Name
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First/Given Name
Last Name/Surname
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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-
Country Code
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Area Code
Phone Number
Email
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example@example.com
LinkedIn Profile
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https://www.linkedin.com/in/YOUR NAME
What is your current work situation (independent consultant, DEI leader at XYZ company, etc.)
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Why are you interested in joining CQ Fellows?
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What do you hope to gain from other participants in this program?
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What can you contribute to other participants in this program?
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How many years have you worked in an intercultural context (domestic or global)?
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Less than 5 years
5+ to 10 years
10+ to 20 years
20+ years
This program involves creating some type of new CQ resource. This might be a book, video series, course, podcast, or even an organizational strategy. The program will help you identify what solution you will create but we'd love to hear any initial ideas you might have now.
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Are you able to make the time, emotional, and financial commitment to this year-long commitment? Please note the costs and time commitment at https://davidlivermore.com/cq-fellows/program-details/
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What time zone are you based in most of the time?
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There will be monthly, virtual sessions that last up to 2.5 hours. What time of day (in the above time zone) are you able to join this session (choose all that apply).
Early morning (6-9 am) [not available for EST/EDT in the Americas]
Mid morning (9 am-12 pm)
Early afternoon (12 pm-3 pm)
Late afternoon (3 pm-6 pm)
Evening (6 pm-9 pm)
Late evening (9 pm-12 am)
Is there anything else you would like to share?
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