Unlock your Leadership DNA “Unlock Your Leadership DNA” Program Registration Register here to secure your seat as part of the new program Name* First Last Preferred pronouns Organization* Position Work Address (for invoicing purposes)* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Work PhoneMobile Phone*Email* Was your Peer Leadership Program inside your organization?* Yes No If you answered no above then please let us know the year you graduated the Public Program below.Have you completed the Leadership Circle Profile™ with Fire Inside Leadership? Yes No Do you wish to include the additional three one hour coaching sessions? Yes No Do we have your permission to share your e-mail with your fellow Program Participants?* Yes No Do you want to receive updates from Fire Inside Leadership?* Yes No The fee for the program is $4020 (net of HST). Each participant can opt to include three one-hour individual coaching sessions for an additional $900 which bring the price to $4920 (net of HST). A non refundable deposit of $500.00 plus HST is required at registration to reserve your space. Δ
