Courses

Leadership Skills

	Top 10 Quick Tour
	Become a better leader

	Get leadership support

	Discover the benefits...

	Customize a learning plan

	Find out about Us

	Learn about the Institute

	Become a member

	Become an associate

	Subscribe to free newsletter

	Register Now!

Associate Application

Note: items marked * are required

First Name*:
Last Name*:
Address:
Employer:
Your Position:
Home Phone*:
Work Phone*:
E-mail*:
What products and services do you and/or your employer have to offer that are compatible and complimentary to GWLI?
Did you note the key beliefs on the main page of the Web Site?	Yes No
Do you concur with these beliefs?	Yes No
Comments
Age Range:
What is the nature of your work?
What is the extent of your experience?
What volunteer activities are you involved in?
What aspects of leadership interest you?
How did you find out about us?	Specifics:
What features of the web site attract you?
What did you NOT find that you would like to know about?
What did you not like about the GWLI website?
What is your website address?
Would you like to be considered for Charter Associate?	Yes No
There is a one-time registration and set-up fee of $300 to prepare a standard GWLI Associate web page to describe you and/or your company.
*Maintenance fee: please indicate your choice: (note:fees will increase in future years) One Year - $249.95 Two Years - $449.95
For the first 5 non-charter Associates these fees are waved in full.
How would you like to pay - please indicate your choice: Cheque Visa Mastercard No payment is expected at this time. Upon receipt of the completed application a representative of GWLI will contact you to discuss finalizing our relationship.