Who's filling this out?

Are you completing this for yourself, or on behalf of someone else?

Myself

I’m enrolling someone else (e.g. as their manager or HR rep)

If you are completing this on behalf of someone, please provide YOUR details below. If you are enrolling yourself, skip to PARTICIPANT details.

Full Name

Organisation Name

Your role/title

Phone

Email

Participant Details

First Name *

Last Name *

Pronouns

Organisation *

Your role/title *

Email Address *

Date of birth

Address *

Street Address

Please provide POSTAL address

City

State

Country

Postal code

Enrolment + Payment Prep

How will this experience be paid for? *

I will be paying personally

My organisation will be paying

Where should the invoice be emailed? *

To me (the participant)

To me (the person completing the enrolment)

Let's get personal

What drew you to The LeadHERship Project™? Can answer as the participant OR as the organisation enrolling their leader(s). *

What are you most hoping for from this experience? Can answer as either the participant OR as the organisation enrolling their leader(s). *

What are you feeling most ready for in this next season of your leadership? Answer only as participant.

How would you describe your leadership in 3 words right now? Answer only as participant.

Demographics (all optional, but helpful!)

How many years (approx!) leadership experience do you have?

Do you identify as Aboriginal or Torres Strait Islander?

Yes

No

Prefer not to say

Do you identify as part of any other underrepresented/marginalised group?

Yes

No

Prefer not to say

If you do identify as being part of an underrepresented/marginalised group are you happy to advise which? This will not be made available to anyone else.

Is there anything you'd like me to know that could help me support you even more throughout this journey? (This might include access needs, neurodivergence, cultural or religious considerations, or anything else that helps you feel seen, safe, and supported. Completely optional - share what feels right for you.)

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