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Personal information

Name

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Last Name

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Age

Current position

Current Organisation

Background

What do you hope to get from the program

What kind of change do you want to realise in your organisation

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I hereby sign up for the program and agree with the terms and conditions

Rebel group October 2025:
- Session 1: 30 & 31 October 2025
- Session 2 day 1: November 2025
- Session 2 day 2: Early December 2025 (tbd)
- Session 3: 30 January 2026

Intervision dates Leadership Circle - 13.00 to 17.00
- 9 July 2025 - Lage Vuursche
- 18 September 2025 - Amsterdam
- 27 November 2025 - Amsterdam

Intervision dates Culture Circle - 13.00 - 17.00
- 19 September - Mid West, Amsterdam
- other dates t.b.d.