1. Building inclusive leaders
Application form
programme

2. BUILDING INCLUSIVE LEADERS
PROGRAMME 2018 – 2019
Application Form
SUBMISSION DEADLINE: 4pm Friday 2nd March 2018
In applying to the programme you must be able to attend all face-to-face elements of the programme. Should there be any difficulty with your availability, before submitting an application, please contact the Chief Executives’ Forum on to discuss the situation. Please note that all travel connected with this programme will be organised and paid for by the sponsoring organisation.
COMPLETING THE APPLICATION FORM:
Save as a PowerPoint file to your computer.
Click inside each answer box, type in your response (noting word limit) and save.
Either your application to or alternatively you can print off your completed form and post it (duly endorsed) to the address below.
NB: As your form must be approved and authorised by your Chief Executive, your submission MUST be cc’d to your chief executive’s address to confirm that the required endorsement is in place.
IF POSTING RETURN ADDRESS IS:
Roisín McDonough T
Chair, Women Chief Executives’ Group E
W Chief Executives’ Forum
Clare House
303 Airport Road West
BELFAST
BT3 9ED

5. INSERT YOUR NAME here Building inclusive leaders Programme
Insert a recent picture and tell us a little bit about yourself here (overwrite your answer on this text)– whatever you are comfortable sharing.
My passion for leadership and for being of service:
What inclusive leadership means to me:
What I most want to achieve on this programme and how I hope it will impact my future career plans:
The strengths that you can expect to see from me are and why i‘m a good fit:
What I will be working on to improve myself over the next 12 months:
What I want feedback on during this programme:
Please stick to the space provided on this page to answer all questions.