Let’s begin with your name*

And your email address*

How did you discover the Illumify Game Changer?*

Someone told me about it.I came across it on your site.I read about it on LinkedIn.I watched a video about it on YouTube.Other

Tell us a little about yourself. Begin with whatever you think is most significant.*

Leaders meaningfully challenge the status quo. Some are seen as leaders because they have the positional authority that comes with a title; others because they have the personal authority that compels others to want to respond to what they say and do; and some have both positional and personal authority.

Do you see yourself as a leader?*

YesNoNot yetNot sure

Do others see you as a leader?*

YesNoNot yetNot sure

Does your ability to ignite meaningful change matter to you?*

YesNoPossibly

Do you see an opportunity now for meaningful change?*

YesNoNot YetMaybe

If so, are you clear on what that change is?*

YesNoSomewhat

Are you willing to step up, speak up and ignite what matters to you?*

YesNoSomewhat

How would you prefer experiencing the Illumify Game?*

solo -- by yourselfwith members of your leadership teamwith other leaders from different organizations

Are you interested in being considered to be a guest on the Illumify Game Changer podcast?*

YesNoMaybe

Would you prefer to experience the Illumify Game Changer online or in person?*

OnlineIn Person

Where are you located?*

Thank you.

By submitting your application to the Illumify Game Changer, you express your willingness to be considered to participate in the Game, you assert that you have read the description of the Illumify Game Changer in full, and that you have read and agree to the website terms. Submission of an application to the Illumify Game Changer does not constitute registration for the Game. Once submitted, we review your application and contact you via email with details of next steps. Next steps in the application process to the Illumify Game Changer can include, although are not restricted to, progressing to the interview stage of the application process or to receiving recommendations on how to supplement your application in order to be considered for an interview.