ATHENA Emerging Leaders Application Name* Full Address* Contact Phone/Cell* Contact Email* Web URL Current Employer* Current Role* What are your goals for joining this leadership development series?* Please review our eight (8) principles, which most resonates with you and why? (It could be as a potential growth area, or based on your comfort level)* Commitment Statement I understand that my success as part of the Emerging Leaders program depends on active participation and shared learning. I understand that this series consists of two monthly morning 90-minute sessions that build, and that my success hinges on my ability to attend all of the sessions. I commit to be present, participate fully and prepare for each session as requested. Selecting this will serve as your electronic signature Date* Program Pricing The ATHENA Emerging Leaders program cost is $500.00 per participant. This includes program materials, all sessions of Master classes and any related networking/other event during the program cycle. Company Sponsored? Interested candidates are encouraged to work with their employers for possible reimbursement. See our document Company Name Company Contact Interested in Scholarships Send Thank you to our Partners!