Form

The Training for Certified Trainers is the first step towards becoming a Training Partner with Center for Serving Leadership (CSL) and in that role represents CSL to others. Therefore, one that we take seriously.

Part One: Personal information

First Name*

Last Name*

Email*

Phone Number*

Company Name*

Country/Region*

State/Region

City*

Street address*

Part Two: Interaction with Center for Serving Leadership

Provide a summary statement of your interactions with Center for Serving Leadership. This may include reading of “The Serving Leader” or other books by John Stahl-Wert, attending any cohort training, personal contact etc. Include, if possible, dates and locations.

CSL Interaction*

Impact. Describe the impact that Center for Serving Leadership has had in your own life and leadership. If possible, identify at least three specific ways your leadership has changed because of the serving leadership model.

CSL Impact

Part Three: Experience and Goals

Leadership*

Briefly summarize your leadership experience. This may include your professional expertise, but focus on who, how and in what contexts you have been a leader.

Experience as a trainer/facilitator*

Provide a summary of any experience you have had in public speaking/training/group facilitation.

Goals*

What do you expect to accomplish if you are trained by Center for Serving Leadership and certified as a training partner?

Goals/ How?*

How does being a training partner with Center for Serving Leadership help you reach other goals that you have personally or professionally?

Part Four: References

Instructions. Provide three references of persons who know you well.
The following persons know me well and I give permission to Center for Serving Leadership to contact them as references:

Provide names, contact details and your relationship with each reference.

Your References*

Signature

I have completed the above information to the best of my ability and if given the opportunity to attend a Train the Trainer event offered by CSL I am ready and willing to do so. I understand that completion of this application in no way implies an offer from Center for Serving Leadership and does not imply acceptance into any upcoming Training event held by Center for Serving Leadership. Acceptance of this application will be followed by an invitation to a Training for Certified Trainers.

Signed [can be done electronically with insertion of your name and date]

This competed form will be sent to: Info@CenterforServingLeadership.com & the appropriate trainer. We will acknowledge receipt within one working day and then process your application as soon as possible.

Thank you for your patience and for serving in this way. We'll contact you soon!