Network application form 

Thank you for your interest in joining the LeadWise network of changemakers!

Please fill out this application to get you started.

Let's change how work works!
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First Name *

Last Name *

Describe yourself in one sentence. This will be your profile headline. *

(Limit of 140 characters. e.g. Organizational Designer, Semco Style Consultant, Holacracy Practitioner, helping organizations to become more people-centric.)
Upload your profile picture *

(Please, use JPG or PNG format - 400x400 px)
What country do you call home? *

(e.g. Netherlands)
What city do you call home? *

(e.g. Amsterdam)
Please list your languages of professional proficiency. *

(Please separate answers with commas e.g. English, Dutch, Spanish.)
Tell us about yourself and why you’re here. This will be your bio. *

(Limit of 1,000 characters)
What are your key areas of expertise? *

(Please separate them with commas, e.g. Self-management, Executive coaching, Agile. Limit of ten indications.)
If you have/are part of a company, please give us its name here:

(e.g. Transformation Now)
Your company or your personal website go here:

Does your company have a logo? If so, upload it here.

(Please, use JPG or PNG format)
LinkedIn profile:

Twitter handle:

(e.g. @alicehanzen)
Facebook profile:


Contact phone number:

(+CountryCode AreaCode Number, e.g. +31 6 90643099)
Would you like to share any other relevant link(s) to be feature on your profile?

(Please separate them with commas)
Thank you for submitting your application!

Almost there…

Soon you’ll receive an email with the instructions on how to schedule an optional fifteen-minute video interview with the LeadWise team.

Once you’re accepted, your changemaker profile will be displayed on our LeadWise Network website.

Organizations will then be able to contact you for projects.

We look forward to connecting soon!

(If you don’t find our email in your inbox, try your SPAM folder or Promotion Tab. Once you find it, move it to the inbox to ensure delivery of our future emails.)

The LeadWise team
Visit LeadWise Network