Enrolment Form: Sponsored

This form will get you started on your accelerator journey. We need to ask you a few questions to get you started. 

This will be:

Registration Details:

Booking your DISC Assessment 

Booking your 1-2-1 Coaching Session

Click the button below to start.


Question 1 of 13

Name (and how you like to be referred as) 

Question 2 of 13

Email Address for contact and learning portal access 

Question 3 of 13

Mobile Telephone (Inc country code)  

Question 4 of 13


Question 5 of 13

Job Role

Question 6 of 13

What are your reasons for wanting to develop your personal impact?

Question 7 of 13

What do you want to accomplish at the end of the programme?

Question 8 of 13

What has kept you from accomplishing these goals in the past? (be honest)

Question 9 of 13

What other development work have you done? And what’s been the most useful to you?

Question 10 of 13

Is there anything else you'd like to share with me confidentially before we start?

Question 11 of 13

What is going to be the most difficult part, or the biggest obstacle to success for you? What will you need to overcome?

Question 12 of 13

What’s your intention or non-negotiable goal for this course?

Question 13 of 13

What specifically do you want from me as your coach throughout this process?

Confirm and Submit