WellBeing Initiative & The Communities Project - Workshop - Building a Culture of Responsibility

Wednesday, December 3, 2025 - 11am to 2pm CT

Please take a few minutes a share a bit about yourself, and what you hope to learn at our leadership workshop in December.

Question Title

* 1. Please provide your FULL contact information.

Name

Employer

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Please describe your current position - what is your job title? What are your day to day duties?

Question Title

* 3. Please describe the biggest successes you are currently experiencing in your position.

Question Title

* 4. Please describe the biggest challenges you are currently experiencing in your position.

Question Title

* 5. In 2-3 sentences, what do you hope to achieve through leadership training?

Question Title

* 6. In order to enhance your experience at our training, are you willing to engage in some minimal suggested reading and preparation ahead of the training date?

Yes

No