Leadership into the Future

Please complete the following form to book your place on this programme starting 25 June 2019.

Module 1 Module 2 Module 3 Module 4

 25th June 12:30 – 19:30

26th June 9.00 – 14:00 

 24th Sept 12:30 – 19:30

25th Sept 9.00 – 14:00 

 26th Nov 12:30 – 19:30

27th Nov 9.00 – 14:00 

 20th Jan 12:30 – 19:30

21st Jan 9.00 – 14:00 


Please download and review the application pack before completing the following form.

Download application pack

Everything you tell us is confidential and is only collected for administration, funder reporting and to make sure you get the best experience from your programme.

Tell us about yourself!
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Please add your surname

How do you identify? Optional
Please add your gender (this is required by our funders)

What's your date of Birth? Optional
/ / Please add your date of birth

Are you a CEO?(*)
Please choose a role

How long have you been in this role? Optional
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Please add your job title

How long has your organisation been operating? Optional
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Work Address(*)
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Town or City(*)
Please add the town or city

Please add your postcode

Please add your email address

Work or mobile phone(*)
Please add the best number to reach you on

Do you have any additional requirements? Optional
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For example, materials to aid dyslexia or partial sight, dietary needs, study support, wheelchair access

Organisation's main focus(*)
Please add your organisation's primary focus (required by our funders)

Name and Surname of a person in your organisation appointed for unlocking your full potential?(*)
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Their Email(*)
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Can you commit to 80% attendance?(*)
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To complete this programme successfully you need to attend for a minimum of 80% of the time.

Pre-Evaluation Questions

Maximum 200 word per question. Questions Optional

What is your motivation to attend the programme and what would you like to gain from it?
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What impact do you hope the programme will have on your organisation?
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What are the challenges and opportunities that your organisation is facing?
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How would you describe your leadership style?
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What are your key strengths and what are the areas you’d like to develop?
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Please contact us immediately if you need to cancel your application.