Emerging Leader Initiative Application

Emerging Leader Initiative Application
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Professional Information
Employer*
Title*
Total Work Experience*
Industry*
Place of Worship
Highest Education Completed*
What leadership responsibilities do you currently have in the workplace? (Leading self, cross-functional, managing a team, etc...)*
Why are you interested in being a part of the Emerging Leader Initiative? *
Can you commit 4-5 hours each month into your growth and development? (This would consist of prework, 2 hour monthly meeting, 1 hour monthly meeting with your coach)*
I will pay $150 monthly for 7 months if I am accepted into ELI.*
On a scale of 1-7 how would you rate yourself in the following area?
I feel comfortable handling conflict in the workplace.*

1

2

3

4

5

6

7

1 is Strongly Disagree, 7 is Strongly Agree
I manage my time and prioritize my work well. *

1

2

3

4

5

6

7

1 is Strongly Disagree, 7 is Strongly Agree
I understand what it looks like to carry my faith into the workplace.*

1

2

3

4

5

6

7

1 is Strongly Disagree, 7 is Strongly Agree
I feel I am a good communicator in the workplace.*

1

2

3

4

5

6

7

1 is Strongly Disagree, 7 is Strongly Agree
What is one expectation or goal you have for yourself by going through the ELI program?*
Share your testimony*
As we pair our coaches and participants, we will look at several factors. If you are familiar with any personality profiles/tools (i.e. DISC, Working Genius, Strength, Myers Briggs, Enneagram, etc.) please share any traits or indicators so we can better match you with a coach.
How did you learn about the ELI program?*
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Emerging Leader Initiative Application

Contact Information

Professional Information

On a scale of 1-7 how would you rate yourself in the following area?