Express of Interest
Leadership Workshop
Inspirational & Transformational Leadership

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First Name*

Last Name*

E-mail Address*

Password*

Confirm Password*

Mobile Number*

Social Profile (Facebook/Linkdin etc)*

Country*

Birth Date*

Gender*

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Profession/Position*

Employer Name & Website*

How did you find out about this workshop?*

Why would you like to participate and what do you expect from the workshop?*

What is your experience with Personal Development?*

What is your experience with Meditations, if so, which ones and for how long?

Do you have any health conditions we need to be aware of?*

What are your hobbies? What do you enjoy to do in your free time?*

What are the areas you feel you need support, to draw out your potential, and that you wish to develop through this Workshop?*

What are your longterm aspirations?*

Only fill in if you are not human

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