Exploring my Leadership

Please complete the following form.
 
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.

 
Please select your title

Please add your name

Please add your surname

Please select your gender as our funding partners can sometimes request this information

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Please select your ethnic origin as this can sometimes be requested by our funding partners

Please select the role which best reflects your current role

Please include the name of your organisation

Please add your work address

Please add the town or city of your work address

Please add your postcode

Please add a current email address so we can contact you with information about your programme

Please add the best number to contact you on

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Ychwanegwch wybodaeth a fydd yn ein helpu wrth i ni gynllunio'r rhaglen. Er enghraifft, a ydych angen mynediad i gadair olwyn, defnyddiau ar gyfer dyslecsia neu olwg gwan, anghenion diet neu gefnogaeth i astudio

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Please ensure that you can attend atleast 80% of the course

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How would you rate your current understanding of the programme's subject? | I ba raddau rydych chi'n deall pwnc y rhaglen ar hyn o bryd?
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Please contact us immediately if you need to cancel your booking. Cancellations made 15 – 21 days before the programme will be charged at 50%, and under 14 days at 100% to cover costs we have already incurred.
Cofiwch gysylltu â ni ar unwaith os bydd yn rhaid i chi ganslo eich lle ar y cwrs. Codir 50% am ganslo 15-21 diwrnod, a 100% am gansio lai na 14 diwrnod, cyn y rhaglen i dalu costau na ellir eu hadfer.
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Thank you for your interest in this programme, we hope you enjoy your time with the Academy!
Diolch i chi am eich diddordeb yn y rhaglen hon, rydym yn gobeithio y byddwch yn mwynhau eich cyfnod gyda'r Academi.
Please click the button once to confirm your booking
Cliciwch y botwm unwaith i gadarnhau eich archeb