The Leadership Circle 360 Feedback Profile Registration


	WORKSHOPS

	Introduction
	The Authentic Leader
	Open Enrollment Dates & Fees Register Now
	Mastering Leadership
	Pathways to Partnership

The Authentic Leader Workshop Registration

Please fill out this on-line registration form and complete all questions. After you submit your registration, you will receive e-mail acceptance to the workshop program. You will also receive logistical information and instructions for taking The Leadership Circle Profile. Payment in full is then required in order to reserve your seat. You will be invoiced. Payment can be made by check or credit card.

US Workshop Fee
$1850 USD
Members of The Leadership Circle — $1450 USD

Canada Workshop Fee
Cdn $2099 + GST

Cdn $1799 + GST if your TLC Profile was completed within the past 12 months Canadian Authentic Leader Workshops include two follow-on Leadership Development Coaching sessions with the facilitator.

ALL FIELDS REQUIRED


Toronto, ON	2010-April	7, 8, 9	Wed, Thu, Fri
Washington DC- Gaithersburg, MD	2010-June	16, 17, 18	Wed, Thu, Fri

Name:

Email:

Position:

Company:

Type of Business
or Organization:

Street Address:

Street Address 2:

City:

State or

Province / Territory:

Zip / Postal Code:

Country:

Office Phone:

Cell Phone:

Fax:

Are you a member of The Leadership Circle? (not a prerequisite)

Yes
No

Have you previously completed TLC Profile within 12 months of training date?

Yes
No

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You can also e-mail your questions to The Leadership Circle
or call us toll free at (800) 895-0399