Your Name

Your Email

Position

Organisation

What generation do you identify with?
Boomer (1946–1964)Gen X (1965–1980)Millennial (1981–1996)Gen Z (1997–2012)

How did you hear about this opportunity?

Why do you want to be part of a facilitated women’s mentoring circle?

What are you hoping to gain from the experience?
(This helps tailor the programme to you):
Building confidence as a woman leaderTackling imposter feelings or fear of “not enough”Leading with authenticity and self-awarenessNavigating influence and impact at senior levelsBuilding resilience, managing burnout and boundaries while sustaining ambitionHaving courageous conversationsMaking bold career moves or transitionsLeading across generationsNegotiating your value

Other topics you’d love the circle to explore:
Your voice matters — suggest anything you’d love to explore!

What timing works best for you?
(tick all that apply)
Tuesday 8:00–9:30amTuesday 12:00–1:30pmTuesday 5:30–7:00pmThursday 8:00–9:30amThursday 10:30am–12:00pmThursday 12:30–2:00pmThursday 4:00–6:00pm