2021 True North Leadership Program Application

Thank you for applying to True North Leadership @1440 Multiversity, October 17-22, 2021. We will respond back to you within five business days of receiving your completed application. Upon acceptance, a deposit is due to secure your spot. Please note that due to the interactive nature of this program English proficiency is required.

Thank you for interest in attending True North Leadership!

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* 1. Personal Information

Name

Home address

City, State, Zip/Postal Code

Phone

Country of Birth

Date of Birth

Are you applying as an individual or team? If team, please include anticipated number of team members including yourself.

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* 2. Employment Information

Company/Organization Name

Title/Position

Describe your role and responsibilities

Company Address

Telephone: (with country code)

Company/Organization Website

Tell us about your organization: Industry/Products/Services

Number of Employees

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* 3. Please estimate the total number of years of your professional experience

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* 4. Professional Experience
Please list your positions in reverse chronological order, starting with your current one.

Company, Title, Dates

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* 5. Leadership Experience

What are your current leadership/job responsibilities?

Tell us about the leadership challenges you or your organization are facing?

Describe your leadership style.

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* 6. True North Program

What are three objectives you hope to accomplish by participating in the True North Leadership program? How will reaching these objectives enhance your leadership career?

What do you think other program participants may learn from you (e.g., perspectives, skills, expertise)?

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* 7. How did you learn about this program?

1440 Email

1440 Catalog

Facebook

Instagram

Radio Ad

From a friend

Bill George Network

Web Ad

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* 8. Education Background

School, Degree, Dates of Attendance

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* 9. Statement of Truth:
By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

Yes

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* 10. Needs Based Scholarship:
Would you like us to send you the scholarship application for this program?

Yes

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* 1. Personal Information

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* 2. Employment Information

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* 3. Please estimate the total number of years of your professional experience

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* 4. Professional ExperiencePlease list your positions in reverse chronological order, starting with your current one.

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* 5. Leadership Experience

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* 6. True North Program

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* 7. How did you learn about this program?

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* 8. Education Background

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* 9. Statement of Truth:By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

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* 10. Needs Based Scholarship: Would you like us to send you the scholarship application for this program?

* 4. Professional Experience
Please list your positions in reverse chronological order, starting with your current one.

* 9. Statement of Truth:
By checking this box, I certify that all the information and accompanying material provided in connection with this application are authentic and accurate.

* 10. Needs Based Scholarship:
Would you like us to send you the scholarship application for this program?