If you are required to obtain a purchase order for your company and need an invoice sent instead of being able to directly pay the Certification fee online, please fill out this form. 

Question Title

* Your Contact Information

Question Title

* Billing Information

Question Title

* LinkedIn Profile URL

Question Title

* Coaching Experience and Certifications

Question Title

* Will you be using our products exclusively with leaders in your own organization?
We need to know if you’ll be using Leadership Circle solely for your own organization’s leaders or if you plan to offer it outside your organization.

Question Title

* Language fluency

Question Title

* What Certification do you want to register for?

Question Title

* What Certification Date would you like to register for? *

Question Title

* If you have previously completed a Leadership Circle Profile what email was used?

Question Title

* If you were referred to Leadership Circle, please provide the email address of the person of your referral: 

Question Title

* If you are registering for a Virtual Certification Program, please upload a clear photo of the Participant. The photo will be used for activities in virtual certification.
Photo Guidelines:
  • Headshot-style image (shoulders and above)
  • File Name Format: Firstname-LastName
  • Well-lit and in focus
  • JPEG or PNG format
  • Less than 16MB
By uploading your photo, you consent to its storage and use by Leadership Circle for the Certification.

CANCELLATION & REFUND POLICY
For any transfer requests made with written notice

45 days prior to the start date of certification, there is no cost.
Within 45 days prior to the start date of certification or for 2nd and subsequent transfers, a fee equivalent to 9% of the workshop fee will be charged.
Cancellations made in writing less than

4 weeks prior to the start date of certification will receive a refund of 75% of price paid.
2 weeks prior to the start date of certification will receive a refund of 50% of price paid.
1 week prior to the start date of certification will receive a refund of 25% of price paid.
Cancellations made without written notice or a second cancellation will result in no refund. The Leadership Circle does not apply transfer fees, refunds, or credits towards any program other than public Leadership Circle certification programs listed by The Leadership Circle for the US or Canada on its website.
Once you have completed all fields, please click the "Done" button below to submit your registration. For any questions or concerns, please reach out to certification.na@leadershipcircle.com.

T