Graduate Program Registration Graduate Program Registration Now Registering for 2020 Regional Gatherings!There is a $125 investment due in order to attend each gathering. The Leadership Collaborative will reimburse you for travel costs (airfare, train, gas, parking), and cover food and lodging during the event. Other travel expenses and additional meals/lodging are the individual's responsibility. The investment is non-refundable beginning one month prior to the event. To register, complete this online form. After submitting you will be directed to a confirmation page with additional information to note. You will also receive a confirmation email within a day. If you do not receive this email, please contact Krista at kristaclementsorlan@gmail.com .Name* First Last Suffix Religious Congregation*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* TLC 360 & Leaders in a Diaspora Moment: A deep dive into maximizing your gifts* Regional Gathering - Fremont, CA - Jan. 17-19, 2020 Regional Gathering - Baltimore, MD - Mar. 20-22, 2020 Regional Gathering - Kansas City, KS - May 1-3, 2020 Please specify for which location you would like to register. Phone*Cellphone Preferred LC Cohort*Please indicate which leadership development training cohort you participated in originally.Do you need to complete the Leadership Circle 360 tool in preparation for the gathering?*YesNoParticipants are required to have completed TLC 360 and debrief prior to the gathering. If not previously completed, the LC will make arrangements for completion. Do you have any mobility issues or other physical needs we need to be aware of?YesNoAbility to navigate stairs is required at the Fremont, CA site.Mobility AccommodationsDo you have any special food needs?gluten-freedairy-freeveganvegetariandiabeticsevere allergiesotherOther Food AccommodationsPlease note allergies, indicate other food needs, or offer specifics below:Do you have need for a Spanish interpreter?*YesNoSpanish interpretation and translation will be offered in Baltimore, March 20-22, 2020 only. Additional Information Coming Soon!
Graduate Program Registration Now Registering for 2020 Regional Gatherings!There is a $125 investment due in order to attend each gathering. The Leadership Collaborative will reimburse you for travel costs (airfare, train, gas, parking), and cover food and lodging during the event. Other travel expenses and additional meals/lodging are the individual's responsibility. The investment is non-refundable beginning one month prior to the event. To register, complete this online form. After submitting you will be directed to a confirmation page with additional information to note. You will also receive a confirmation email within a day. If you do not receive this email, please contact Krista at kristaclementsorlan@gmail.com .Name* First Last Suffix Religious Congregation*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* TLC 360 & Leaders in a Diaspora Moment: A deep dive into maximizing your gifts* Regional Gathering - Fremont, CA - Jan. 17-19, 2020 Regional Gathering - Baltimore, MD - Mar. 20-22, 2020 Regional Gathering - Kansas City, KS - May 1-3, 2020 Please specify for which location you would like to register. Phone*Cellphone Preferred LC Cohort*Please indicate which leadership development training cohort you participated in originally.Do you need to complete the Leadership Circle 360 tool in preparation for the gathering?*YesNoParticipants are required to have completed TLC 360 and debrief prior to the gathering. If not previously completed, the LC will make arrangements for completion. Do you have any mobility issues or other physical needs we need to be aware of?YesNoAbility to navigate stairs is required at the Fremont, CA site.Mobility AccommodationsDo you have any special food needs?gluten-freedairy-freeveganvegetariandiabeticsevere allergiesotherOther Food AccommodationsPlease note allergies, indicate other food needs, or offer specifics below:Do you have need for a Spanish interpreter?*YesNoSpanish interpretation and translation will be offered in Baltimore, March 20-22, 2020 only. Additional Information Coming Soon!
