Confident Leaders Training Camp Application

CONGRATULATIONS, on your decision to apply for one of our limited slots in the upcoming Confident Leaders Training Camp 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 Confident Leaders Training Camp and prepare for our interview.


  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*
How did you hear about us?
What is current position/title? *
What is the biggest issue/challenge you are facing in your team/organization regarding 'communication'? *
What is the primary issue/challenge you must improve in your team/organization this year? *
What are 1-2 issues/challenges you avoid addressing and end up having to tolerate less than desirable results or performance from your team or team members?*
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...) *