Minds at Work 2020 Registration Form

Registration is now open!

You may register below our 2020 programs.

Basic Information

Name*

Do you have a different preferred name for your name tag?*

Yes
No

Organization (for directory listing)

Email*

Confirm Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Country*

Are you attending with colleague(s) from the same organization?

Yes
No

Registration Information

Are you registering for an online or in-person program?*

Online

Running Total

$0.00

Total

$0.00

Background Information

What level of experience do you have with the Immunity to Change approach?*

I am new to the ITC approach.
I have had some exposure to ITC materials (e.g. reading 'Immunity to Change').
I have completed an ITC map for myself but have not facilitated someone through the map.
I have a small amount of ITC facilitating experience.
I have had a great deal of ITC facilitating experience.

How did you learn about Minds at Work and our programs?*

Immunity to Change book
mindsatwork.com website
A colleague/friend/family member
A coach or other helping professional
An event/presentation by Minds at Work Faculty
OD Network Email
The Leadership Circle
Mobius Executive Leadership event listing
Social Media (e.g. LinkedIn, Facebook, etc.)
Other

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