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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:

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* 5. Phone: (with country prefix +)

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* 6. Country of residence (applicant or the employer should preferable come from EU country):

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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. Number of employees within EU market:

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* 11. Name of current position held:

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* 12. Has your company Diversity & Inclusion (D&I) agenda in its strategy and priorities?

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* 13. Has your company implemented D&I policy within internal governance:

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* 14. How would you assess the maturity of your employer in D&I agenda?

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* 15. What is your employer's  aspiration in D&I agenda in 1 years time:

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* 16. What is your employer's aspiration in D&I agenda in 5 years time:

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* 17. What is your main expectation or motivation to join EWoB D&I Academy?

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* 18. Attached LinkedIn profile (in English):

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

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* 19. Attached a Motivation letter why you would like attend EWoB D&I academy (recommended up to 500 words):

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

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* 20. Recommendation letter (it is not mandatory; recommended up to 300 words)

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

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* 21. 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 WELP project.

Personal disclaimer:

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* 22. 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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* 23. I agree with dates and my attendance in online C-Level School.

Dates:

Kick-off:    WED  29.9.2021; 6-7.30pm
Webinar 1: THU 30.9.2021; 9-12am
Webinar 2: WED 13.10.2021;  9-12am
Webinar 3: WED 27.10.2021; 9-12am
Webinar 4: WED 10.11.2021; 9-12am
Close-out:  TUE 16.11.2021; 6-7.30pm

All EWoB D&I Academy events are delivered via ZOOM meetings. There are different assignments during D&I Academy duration therefore we'll require your attendance and active participation.

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* 24. I agree with my financial contribution to EWoB D&I Academy: 750 EUR (w/o VAT)

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* 25. Will your employer pay EWoB D&I Academy fee on your behalf?

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* 26. How did you find out about EWoB D&I Academy?

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