Program Registration Program Sliding Scale Application "*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged. The Center for Nature and Leadership will never share your information with anyone. Name:*Email:*Give us your best email. Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone number:* Accommodation:*Do you prefer camping or an indoor accommodation? Camping Lodging Cultural/Ethnic Background:*We're only asking so we can make sure the Council is a diverse learning community for you and the rest of the participants. What year were you born?*This information will be used to ensure diversity of age in the gathering that you are applying for.Year born20001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945 Career/Work Sector:*SectorBusinessEducationHealthcareNGO/ Non-profitGovernmentFamily / CaregivingOther Organization and Position:*Affiliated with an organization or not, please tell us what you're up to. How might this experience be of benefit to you? How did you hear about the program? Terms & Commitments*Please review and agree to the program terms and mutual commitments below. that we are making to each other here. JOINING THE CENTER FOR NATURE & LEADERSHIP COMMUNITY: Our Mutual Commitments to Each Other When you join the a CNL program, you are joining a community of women leaders who highly value your participation, whether that be at our face-to-face gatherings or in our virtual check-ins. Simply put, we, as a community, thrive on active presence. And while the focus of CNL is on your personal priorities for development, you will come to find that the voice and perspective of others, especially the collective, is what may be most valuable for you. Our mutual commitments are designed to serve this value. Your registration is complete, and your place is reserved when we have received your application and payment. Once we receive this information we will confirm your place via email and let you know next steps. ————————————————— Program Enrollment and Travel Arrangements *** PLEASE DO NOT MAKE NONREFUNDABLE TRAVEL ARRANGEMENTS UNTIL THE PROGRAM HAS BEEN CONFIRMED WITH SUFFICIENT ENROLLMENT **** YOU WILL BE NOTIFIED WHEN THE PROGRAM HAS BEEN CONFIRMED. CNL IS NOT RESPONSIBLE FOR COSTS OF TRAVEL ARRANGEMENTS MADE BEFORE THE PROGRAM HAS BEEN CONFIRMED WITH SUFFICIENT ENROLLMENT. ————————————————— By completing the application, you are acknowledging that you have read and agree to all of the CNL policies listed above. I Agree
