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ATHENA Enlightened Leaders Application Form
October 2024 – May 2025 Cohort 6
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address (For delivery of program materials.)
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Mobile Phone (Program related text reminders will be sent to this number.)
Current Employer and Role, or most recent if you are in transition. Total number of years in a professional or business role.
What are your goals in joining this leadership development series?
Please review the ATHENA Leadership Principles. Which resonates with you and why?
ATHENA PRINCIPLES: Live Authentically, Learn Constantly, Build Relationships, Foster Collaboration, Advocate Fiercely, Act Courageously, Give Back, Celebrate). See more info about each principle at https://athenatriangle.org/principles/
Do you anticipate that your $850 program fee will be covered by your employer or sponsor, or will you be self-funded?
My registration fee will covered by my employer or a sponsor
I will be self-funded
Not clear yet. I am uncertain about how I will cover the registration fee.