LIT Virtual 4 Registration

LEADER IN TRAINING
Virtual

LEADER IN TRAINING VIRTUAL

COHORT 4

First Name

Last Name

Job Title

Company Name

Cell Phone Number

Home Street Address

Home City

Home State

Home ZIP

Number of Direct Reports

0 1 - 5 5 - 10 10 or more

Manager's First Name

Manager's Last Name

Manager's Email

In a few sentences, tell us why you are interested in the Leader in Training Program.

Have you completed a trueU Leadership Academy Program? Click all that apply.

Leading Others Leadership is Everyone's Business Other No

I have received approval to enroll in this Leadership Program.

Yes No

Who in your organization gave the approval for your enrollment?

By submitting this enrollment form, I agree to invoice my company $3,000 for enrollment in this class.

Yes No

By submitting this enrollment form, I agree to attend every class. (Execeptions can be made on a case by case basis.)

Yes No