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EQ Essentials

Enrollment Form

EQ Essentials

Tuition *

$350 Inforum Member
$450 Non-members

First Name *

Last Name *

Work Phone *

Phone Type *

Cell Phone *

Phone Type 2 *

Work Email *

Personal Email *

How did you hear about the program? *

Demographics (optional)

Age range:

To which gender identify do you most identify?

Race (select all that apply)

Are you of Hispanic, Latino, or Spanish origin?

Yes
No

What is the highest degree or level of school you have completed?

Are you a Veteran?

Yes
No

Current Work

Title *

Company Name *

Industry *

Description of current role: *

Number of Direct Reports *

Number of Indirect Reports *

Time in current position *

Years at current company *

Years of Leadership Experience: *

Years of Professional Experience: *

Management

Director Manager (name, title, email)

EQ Essentials

Demographics (optional)

Current Work

Management

Southeast Michigan

West Michigan

Timeout Warning

EQ Essentials

Demographics (optional)

Current Work

Management

Southeast Michigan

West Michigan