Sample Form_She Rises

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DISCLAIMER

This form is an expression of interest only. You are not committing to any program or, you won’t be asked to provide any financial information. This is simply so we can get to know each other better and you can get a feel for what the She Rises Movement is.

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Full Name* This field is required.

First Name

Last Name

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Why are you interested in participating in this leadership program? (Briefly describe):

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What do you consider your current strengths in leadership?

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What areas of leadership do you feel you need the most development in?

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What is your ideal format for learning? (For example in-person training, live workshops, recorded modules etc):

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The She Rises is a comprehensive 12-month coaching journey. Are you in a position to invest the time and energy to improve yourself?

YESNO

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Would this program be one you would like to share with a friend? If yes, you can refer them here and you both will be the first to know when enrolments open.

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What transformation would you most like to see in yourself, after you complete this program?

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Email* This field is required.Provide your email so you can be the first to know when enrolments open

example@example.com

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Phone Number

Area Code

Phone Number