First name and last name*

E-mailadres*

What is you personal goal for participation in this Leadership Program?

What is the need for change that you want?

What actions have you taken so far to achieve your goal?

What personal areas of improvement do you foresee in meeting your goal?

What personal strengths do you see in meeting your goal?

How do you know if you have reached your goal?

What specific questions are you looking for answers to in the training so you can move forward in practice?

Do you have any comments?

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