Application for South Asia RLA 2019 (Nepal)

Please allow 15-20 minutes to complete this application. This application form is open to member leaders from chapters within the South Asia region. A select number of seats are reserved for member leaders from outside South Asia.

Last Name *
First Name *
EO Chapter *
Email *
Please confirm that you have served in one of the following roles:
-Chapter Board Member
-Regional Council Member
-Global Committee Member
-Expert *
Yes, I have served or currently serve in one of the above roles
The Regional Leadership Academy content is presented entirely in English. Please confirm that you have a strong command of the English language. *
Yes, I am fluent in English
Please verify that you understand the following information:
-The program runs from 15-19 March 2019 (arrival on 15th March, by 3 pm. departure after 3 pm on 19th March). If you are accepted, there is a requirement to participate for the entire program from 6am-11pm daily, no exceptions.
-The program fee is $1500 USD and does not include travel, hotel, airport transfers and incidental expenses.
-If you are accepted, you are required to stay in the designated program hotel(s) for the duration of the event, no exceptions. *
I understand all the requirements and information above.
Year Joined EO *
Your EO Leadership Resume
-Please list any leadership roles you have held in EO
-Begin with the most recent/current position and list one role on each line
-i.e. 2016/17: Forum Chair (EO Malaysia) *
List and describe three (3) EO Leadership accomplishments that you are most proud of. *
Maximum of 250 words allowed. Currently Entered: 0 words.
What would you consider your most significant EO leadership failure? *
Maximum of 250 words allowed. Currently Entered: 0 words.
What does "leading in diversity" mean to you? How is this term relevant to leadership in EO? *
Maximum of 250 words allowed. Currently Entered: 0 words.
What are your Leadership Aspirations? And how will EO benefit from your Leadership? *