A Scientific Approach to
Leadership & Management


Manager's Participant Enrollment Information Form

LeaderPoint offers open enrollment, association and private company sessions
that are modular in design and proven to
improve client business outcomes.



It is the policy of LeaderPoint to comply with the Americans with Disabilities Act.  If special arrangements are necessary for an individual with a disability to attend any session, please contact LeaderPoint at (816) 868-6236 or khardcastle@leaderpoint.biz

Participant Enrollment Form
Copyright 2002 LeaderPoint
All rights reserved.
Revised: 02/01/17



All information provided will remain confidential and will only be viewed by LeaderPoint staff.  Information provided will only be used for The Executive Experience course for which the participant is enrolled.

Manager's information form - Please complete and contact us with any questions.

If you are enrolling multiple participants, please complete a separate form for each participant.  After choosing submit - you will have the opportunity to return to a new form.

Please provide the following contact information:
(use "tab" key to move from field to field; "return" key submits form)

Your Name
 Your Title
Business Unit
Email address

Participant Name:

The areas I think would most benefit this participant are:

The reasons I think this participant is high potential are:

I will be pleased if, after this class, this participant can:

The project for this participant is:




6045 Martway, Suite 108
Mission, KS 66202


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