GENERATIVE LEADERSHIP COHORT APPLICATION

You are about to take a bold step in your leadership practice

First name

Last name

Company

Title/Role

Phone

How did you hear about the program?

How would you identify your leadership position?

Founder/Owner, and Senior Leader

Senior Leader/Executive

Mid-level Leader (people report to you, and you report to others)

Advancing Leader (looking to grow into a more advanced leadership position)

Other (Board Member, Facilitator, Leadership Mentor/Coach, Vistage Chair, EOS integrator, etc.)

What other formal or informal leadership development programs have you engaged in? How did they benefit you? Where did they leave you unsatisfied?

This program demands deep exploration, courage, and openness. It will challenge your limits. What do you hope to gain from this intense experience? What would be true about your leadership because of participating?

What specific leadership competencies would you like to work on, develop, improve?

You will be participating with a group of other leaders from different companies. What do you hope to gain from the experiences of others? What do you hope to share with the others?

What drives you in the work you do? What beliefs or ideas animate your actions? Or simply, why did you choose a life of leadership?