GLI Registration Form

GLI is a 5-day experiential learning opportunity for personal and professional development. GLI is traditionally structured for 12 - 16 participants representing various departments within an organization, or disparate persons from various industries. The experience provides development of communication, facilitation and leadership skills and sharpens skills necessary for successful group dynamics, particularly to diagnose, access and prescribe solutions to a team

1. Please fill out the form below and we will be in touch shortly.

First Name *This question is required.

Last Name *This question is required.

Title

Organization

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State

Postal Code

Country

Email Address *This question is required.

Phone Number

Fax Number

Mobile Phone

Website

2. How do you prefer to be contacted?

3. For lodging assignments please indicate your gender: (Lodging is in private rooms with shared bathrooms)

4. Please identify which session you are interested in attending:

5. How did you hear about the GLI? *This question is required.

6. Do you have any dietary, medical or other restrictions/limitations or special considerations? *This question is required.

7. Anything else you'd like us to know (Optional):

8. What payment method works best for you? *This question is required.

GLI Registration Form

Registration for the Group Leadership Intensive - GLI