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For any questions or concerns, please contact Martina Klepalova, EWoB Program Manager (martina.klepalova@europeanwomenonboards.eu)

Questions/fields marked with a (*) are mandatory.

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* 1. Name of applicant:

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* 2. Surname of applicant:

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* 3. Academic title:

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* 4. E-mail address (we prefer a private e-mail as your employer might have spam filters to external accesses or you might change your job):
This email address will be used by EWoB Communication team to reach you out with webinar invites and other relevant informations.
Furthermore, EWOB is using Google Classroom platform as common space for sharing information, documentation and assignments during CLP.

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* 5. Phone: (with country prefix +)

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* 6. Country of residence:

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* 7. Current employer:

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* 8. Industry:

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* 9. Size of the company (Yearly turnover in EU market):

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* 10. Name of current position held:

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* 11. Department within organisation:

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* 12. Key expertise (fill in 20 key words to define field of expertise)

This information will be published for CLP participants in networking brochure.

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* 13. What is the biggest challenge you are facing currently in your business? (up to 10 words)

This information will be published for CLP participants in networking brochure.

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* 14. What is your hobby or special interest? (up to 6 key words). 

This information will be published for CLP participants in networking brochure.

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* 15. Professional aspiration in 1 year time:

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* 16. Professional aspiration in 5 years time:

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* 17. Are you part of (any) company board:

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* 18. Are you interested to become a board member:

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* 19. In which timeframe are you interested in a board position?

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* 20. Attached LinkedIn profile (in English):

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 21. Attached a Motivation letter why you would like attend C-Level Program (recommended up to 500 words):

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 22. Recommendation letter

(this is not mandatory document for application; recommended up to 300 words)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 23. Attach your picture (coloured head/shoulders picture which will be shared in the networking brochure and our LinkedIn group):

Please, note, if no picture will be shared with us, we use your public LinkedIn profile picture.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
GDPR disclaimer:

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* 24. Your personal data that you provide to us will be protected according to the law on electronic communication (Nr. 127/2005), as well as the law on protection of personal data (Nr. 101/2000), including all amendments. We commit to use it with your knowledge and permission only for the purpose of EWoB C-Level Program.

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* 25. I agree communication with me will be solely via electronic communication (e-mail). We recommend to use your private e-mail address. 

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* 26. EWoB C-Level Program GROUP CONSENT

CLP is not about education, it is about networking. You will meet 40 businesswomen from more than 10 countries. To allow smooth networking, EWoB plans to share following information from your application among CLP participants, EWoB facilitators and CLP speakers:
  • your picture
  • name/surname
  • email contact
  • country of origin
  • current employer & position
  • key expertise
  • business challenge
  • hobby
Before CLP kick-off a Networking brochure will be shared among the group.

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* 27. During C-Level Program 2023 we may capture and share still images (photograph), moving images (video), audio recording, interview statements or other related material in which your identity and/or name may be displayed. This can occur for promotion purposes in social media or through print, digital and electronic means and future audit purposes from our or partners organisations, incl. European Union.

During the CLP each participant will work on own video statement, which might be used by EWoB in the future. Before any public launch of individual video, you will retain the right for authorisation.

The webinars are being recorded for internal purposes. In case participant is missing and has excused in advance, recording will be share with her.

Therefore we seek following consent from you:

EWOB RECORDING CONSENT
Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to European Women on Boards, its affiliates and agents, to capture and share:
  • still images (photographs);
  • moving images (film/video);
  • audio recordings;
  • interview statements;
  • other related material used for EWoB promotion purposes and other media activities related to EWoB's mission 
in which my name and/or identity may be displayed.
 
I accept that the subsequent use may be in a number of media, including but not limited to print, digital and electronic use by the EWoB and/or by agents authorized by the EWoB.

You can call off your consent any time by sending a request to: communication@europeanwomenonboards.eu

Personal disclaimer:

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* 28. I agree with dates and my attendance in online C-Level Program.
(we recommend to pin the dates in your calendar in advance)

Dates & times (CET):
CLP Kickoff:     TUE  5.9.2023; 6-8pm
Webinar 1:        THU 7.9..2023; 9-12am 
Webinar 2:        THU 21.9.2023;  9-12am
Meet & Greet:  TUE 26.9.2023; 6-7pm (informal networking event)
Webinar 3:        THU 5.10.2023; 9-12am 
Webinar 4:        THU 19.10.2023; 9-12am 
Webinar 5:        TUE 31.10.2023; 9-12am 
Webinar 6:        THU 16.11.2023; 9-12am
Webinar 7:        THU 30.11.2023; 2-4,30 pm (face to face in Prague or online)
Close-out:         THU 30.11.2023; 6-8pm (face to face in Prague or online)

All CLP events are delivered via ZOOM meetings, excepts Close out. Close out is subject of participants choice (EWOB will organise a hybrid venue).
There are different assignments during CLP duration therefore we'll require your attendance and active participation.

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* 29. I agree with my financial contribution to C-Level Program: 1.250 EUR (w/o VAT)

Price includes 1 year EWoB individual membership fee.
Existing EWoB members enjoy 10% discount from the Price applied during payment.

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* 30. How did you find out about C-Level Program?

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