Program for Leadership Development (PLD)

Recurring Application Form

If places are limited for your preferred module, you can participate in the next program module planned for this or the upcoming year. To secure the seat that has been offered to you fill out this questionnaire within 1–3 days from receiving it.

Progress:

BASIC INFORMATION

First Name

Last Name

Primary Email

Mobile Phone

Job Title

Company / Organization Name

FELLOWSHIP & PARTICIPATION

Yes, I have been granted a fellowship which will give me access to the whole educational experience of the PLD module in value of PLN 18 500 and wish to be included in the future modules of the program this or next year.

Yes, I will cover declared registration/program fee from my primary application with the personal costs of participation related to accommodation, or travel, before my participation in the chosen module.

Agreements

I hereby agree for processing my personal data for the purpose of my participation in the program (https://center-for-leadership.org/privacy-policy/)

Yes, I understand that successful registration will be confirmed by email

Name
Are you applying for the first time?	No, I have applied in previous years
Company/Organization
Organization Type
Organization Size
Job Title
Email
Phone
Address
Gender
Age
Birthday

Program for Leadership Development (PLD)

Recurring Application Form

BASIC INFORMATION

FELLOWSHIP & PARTICIPATION

Agreements

Applicant

Reference Contact

Background

Deep Answer Questions

Nomination

Other

NEWSLETTER

About Us

Academy

Program for Leadership Development (PLD)

Recurring Application Form

BASIC INFORMATION

FELLOWSHIP & PARTICIPATION

Agreements

Applicant

Reference Contact

Background

Deep Answer Questions

Nomination

Other