CONGRATULATIONS, on your decision to apply for one of our limited slots in the upcoming Confident Leaders Training Camp’s Small Business Leadership Academy which is designed to provide you ‘momentum’ in leading your team and organization to greater results.

Please complete the form below answering the questions in as much detail as possible. The more specific you are in your answers the better I will be able to evaluate your fit for the Small Business Leadership Academy and prepare for our interview.

TWO IMPORTANT NOTES:

  1. Although the form space looks limited you can write as much as you need to without limitation so please be as detailed as possible.
  2. Once you complete the Application you will be sent to a webpage that will ask you to schedule your interview, please select the day/time that best fits your schedule and I will call you at that time.

* Required Field


Enter Your Full Name*
Enter Your Primary E-mail Address*
Enter Your Company*
Enter Your Phone Number*
*What is current position/title?*
*Size of company/team for which you are responsible (# of employees/team members, revenue, etc.)?*
*As a leader, what is the #1 communication issue you are most challenged by?*
*What is the primary issue/challenge you face in improving employee motivation & productivity this year?*
*Why do you want to participate in this training & why do you think you are a good fit for it?*
*Are you now, or have you ever personally invested in personal or professional development programs/initiatives to address these or any other issue? Please describe:*