2024 BIPOC Leader Lab Application Form

First Name

Last Name

Email

Country

City

Organization

Position

Length of time in current position

Racial Identity

Other intersectional identities

What support are you looking for in your leadership role?

How would you describe your leadership style in one to three sentences?

Is this the role you most desire to be working in? Why or why not?

Do weekly sessions work for you?

Yes

No

How did you hear about the BIPOC Leader Lab?

Where have you seen us on social media (check all that apply)?