Initiative Foundation Leaders Circles

Initiative Foundation Leaders Circles® for Nonprofit Leaders

REGISTRATION FORM
Name
Title
Organization
Years in Position
Organization's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Office Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
E-mail
Do you accept text messages
Organizational Mission/Purpose:
Number of staff FTE
Annual operating budget
How did you hear about TOP Leaders Circles®?
What do you hope to gain from your participation in Leaders Circles®?
What do you see as your current greatest leadership challenge or growth opportunity?
How do you think your participation might benefit your organization?
Please respond to the following statements to help determine if participation is a good option for you at this point in time.
I’m committed to working on leadership issues as they relate to my professional development.
Comments
I’m ready to take action steps that will help close the gap between where I am now and where I want to be professionally.
Comments
I’m looking for new ideas, new ways of doing things, and candid feedback to facilitate positive change and growth.
Comments
I am prepared to devote the time needed to make my Leaders Circle® a powerful experience for myself and my peers, including prioritizing time for meetings, preparation and homework.
Comments
I am interested in joining a Circle:
Location
Please identify other possible site.
Payment Information

Cost of participation is $300. When your Leaders Circles® group begins you will receive an invoice for that amount.
Questions?

Questions? Contact Chris Fastner at the Initiative Foundation (320) 632-9255 or cfastner@ifound.org.
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Initiative Foundation Leaders Circles® for Nonprofit Leaders

Please respond to the following statements to help determine if participation is a good option for you at this point in time.

Payment Information

Questions?