Lead Well 2021 Application By submitting this application you are requesting a place in our March 2021 Cohort. There are no right or wrong answers, it is just about us getting to know you. Step 1 of 5 20% Name* First Last Preferred Name First Mobile Phone*Office PhoneEmail* Address* Postal address Address Line 2 City State Postcode Username*You will use this to login to our course overview and upon acceptance to the course to our training portalPassword Enter Password Confirm Password OrganisationPosition*The name of your role My objective by participating in this course is:I am able to allocate X hours WEEKLY to workplace wellness*1-2 hours3-4 hours5-6 hours6 hours plusThis is to include your presentation to your team and the study on this course. Why would you like to participate in this course?*What does to Lead Well look like for you?* Where in your workplace is there an example of workplace wellness being engage in positively?*How are you going to implement the skills you have learnt from this course?*When are you wanting to start sharing your new skills with your team?*1 month2 months3 months4 months5 monthsOur course is about real time implementation and we want to ensure we are all on our own time frame. These choices are from our start date. What payment option will you require?* credit card invoice other, please give details below in other questions/comments. Funds must be received by Balance Minder prior to commencement of courseDetails for invoiceAny other questions or comments?