Ascend New York Metro - 2026 Leadership Advantage Program Application Form
Please fill out your details to apply for the Leadership Advantage Program.
Full Name
*
First Name
Last Name
Current Role
*
Company Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you currently an Ascend Member?
Yes
No
Years of Professional Experience
Please Select
<3 years
3–4 years
5–7 years
8–10 years
11–15 years
>15 years
Industry
Please Select
Consulting / Professional Services
Financial Services / Banking / Private Equity
Technology
Healthcare / Life Sciences
Consumer / Retail / E-commerce
Media / Entertainment
Industrial / Manufacturing
Energy / Utilities
Nonprofit / Public Sector
Startup / Entrepreneurship
Other (please specify)
What do you hope will be different for you as a result of participating in this series?
What are you willing to practice, challenge, or reframe to get the most from this experience?
How would you like to contribute to the learning and growth of others in this cohort?
Anything else you would like us to know about your goals for this program?
Are you able to attend the sessions in the program as scheduled?
Session 1: April 21 (Tuesday)
Please Select
Attend
Not Attend
Unsure
Session 2: May 5 (Tuesday)
Please Select
Attend
Not Attend
Unsure
Session 3: May 21 (Thursday)
Please Select
Attend
Not Attend
Unsure
Session 4: June 2 (Tuesday)
Please Select
Attend
Not Attend
Unsure
Session 5: June 16 (Tuesday)
Please Select
Attend
Not Attend
Unsure
Submit Application
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