Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Board Readiness Program 2024 (Spring) - Application Form For any questions or concerns, please contact us at firstname.lastname@example.org Questions/fields marked with a (*) are mandatory. OK Question Title * 1. Name of applicant: OK Question Title * 2. Surname of applicant: OK Question Title * 3. Academic title: OK Question Title * 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 the EWoB Communication team to reach you with webinar invites and other relevant information.Furthermore, EWOB is using the Google Classroom platform as a common space for sharing information, documentation, and assignments during BRP. OK Question Title * 5. Phone: (with country prefix +) OK Question Title * 6. Country of residence: Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Ireland Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden Switzerland United Kingdom Other (please specify) OK Question Title * 7. Nationality: Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Ireland Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden Switzerland United Kingdom Other (please specify) OK Question Title * 8. Current employer: OK Question Title * 9. Industry: Aerospace Agriculture Automotive Banking Chemical industry Construction Defense industry Distribution Education Energy & Utility Government Health care Industrial production Information technology Insurance Media Oil & Gas Pharma Retail Telco Tourism & Leisure Other (please specify) Other (please specify) OK Question Title * 10. Size of the company (Yearly turnover in EU market): 0 - 15 Mio. Eur 15-50 Mio. Eur 50-100 Mio. Eur 100-250 Mio. Eur 250 - 1 bln. EUR more > 1bln. EUR OK Question Title * 11. Number of employees within EU market: 0 to 10 employees 11 to 50 employees 51 to 250 employees 251 to 1000 employees 1 000 to 10 000 employees 10 000 to 50 000 employees more than 50 000 employees OK Question Title * 12. Name of current position held: OK Question Title * 13. Department within organisation: OK Question Title * 14. What are your top skills and experiences that would be of value to a board? OK Question Title * 15. Professional aspiration in 1 year time: OK Question Title * 16. Professional aspiration in 5 years time: OK Question Title * 17. Are you already part of any type of Board or Advisory Board? Or actively looking for your first Board position? Yes, I am already part of Board or Advisory Board No Not yet, I am actively looking for my first Board position. Here you can leave any comment to your current carrier stage: OK Question Title * 18. If your previous answer is YES, please, share with use: Name of Org, Type of Org, Type of Board OK Question Title * 19. What is your primary motivation for entering into a Board role? (300 words) OK Question Title * 20. Please, share with us why you think that this Board ready program is right for you (up to 500 words) OK Question Title * 21. Attached LinkedIn profile (in English): PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Attached LinkedIn profile (in English): OK Question Title * 22. Attached your CV (in English): PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Attached your CV (in English): OK Question Title * 23. GDPR disclaimer: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 the EWoB Board Readiness Program. I agree OK Question Title * 24. Personal disclaimer:I agree communication with me will be solely via electronic communication (e-mail). We recommend using your private e-mail address. I agree OK Question Title * 25. EWoB BRP Program GROUP CONSENTBRP is not only about learning, it is just as much about networking. We are thrilled to facilitate networking and connections between senior businesswomen from different countries. To support smooth networking, EWoB plans to share the following information from your application among our internal groups: BRP participants, EWoB facilitators and BRP speakers. your picturename/surnameemail contactcountry of origincurrent employer & industry, positionkey expertisechallenges ("Get together" brochure for participants)goals ("Get together" brochure for participants) I agree You can leave us any comment: OK Question Title * 26. During BRP Program 2024, we may capture and share still images (photograph), moving images (video), audio recordings, 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.The webinars are being recorded for internal purposes. In case the participant is missing and has excused in advance, the recording will be shared.Therefore we seek the following consent from you:EWOB RECORDING CONSENTWithout 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 several 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: email@example.com I agree You can leave us any comment: OK Question Title * 27. I agree with dates and my attendance in online Board Readiness Program.Dates & times (CET):BRP Kickoff: WED 21.2.2024; 6-7pmWebinar 1: FRI 23.2.2024; 9-11amWebinar 2: FRI 8.3.2024; 9-11amWebinar 3: FRI 22.3.2024; 9-11amWebinar 4: FRI 5.4.2024; 9-11amWebinar 5: FRI 19.4.2024; 9-11amAll BRP events are delivered via ZOOM meetings.There are different assignments during BRP journey therefore we'll require your attendance and active participation. I agree OK Question Title * 28. I agree with my financial contribution to Board Readiness 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. I agree OK Question Title * 29. How did you find out about Board Readiness Program? EWoB newsletter Recommendation from C-Level Program alumni or EWOB Member Social media Local EWoB Partner/Member association Other (please specify), If Local Partner/Member association, please specify which one OK SUBMIT MY APPLICATION. EWOB WILL INFORM YOU SOON.