I would like to apply for:
First Name
Surname
Preferred name
Gender
Work Details
Organisation
Position
Work address
Telephone
Fax
Mobile
Email
Home Details
Home address
Telephone
Fax
Mobile
Email
Preferred contact address
How did you hear about this Common Purpose course?
The following information will be used by Common Purpose to ensure that the course is a mixture of people, backgrounds and sectors.
If you have a disability that requires us to make a reasonable adjustment to enable you to apply, please tick and your nearest Common Purpose office will contact you.
Describe your current position and responsibility for decision making. This may include roles within your organisation and/or in a role outside work e.g. non-executive roles or community leadership
Please provide us with a brief biography that describes your career to date; include any leadership positions outside your employment (eg, public appointments, non-executive role or trusteeship.
What leadership challenges are you likely to face in the future?
Briefly describe your reasons for applying for this course and how you are hoping it will help you develop as a leader.
How do you think you would contribute to the group?
Is there any further information that you think we should have?
Please describe any special needs of which we should be aware (disability, dietary requirements, etc).
Financial information
Please tick here to confirm your willingness to pay the full fee for this course
There are a few part-fees available for candidates who can demonstrate a clear need for financial assistance. To be considered, please document your need below
Completing your application
We may also use your contact details to send you information about other courses and activities we offer.
Tick here to opt out.
We may publish your contact details to the members of your participant group as part of the information distributed prior to the programme.
Tick here to opt out.
We may publish your contact details including email address to graduates of Common Purpose worldwide and to members of the Common Purpose Advisory Groups.
Tick here to opt out.
I have read and agree with these terms and conditions.