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LeadHership Academy

First Name

Last Name

Email

Business name (if applicable)

Area of expertise or organizational role?

What inspired them to apply for LeadHership Academy?

What are some of their leadership challenges?

What do they hope to get out of the program (short-term and Long-Term goals)

What are the top 3 leadership skills you want to develop during this program?

Are you committed to completing the program and apply the skills learned?

Other request

Thanks for your interest!

© 2023 by Shirley Baez.

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shirleybaez53@gmail.com

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