Executive Roundtable - November 14 Step 1 of 4 25% Name* Prefix Dr.MissMrs.Ms.Prof.ReverendPastorBishopMinister First Last . . . Organization*. . . Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands . . . Email* . . . Mobile*. . . Organization Telephone*. . . WebsitePlease enter the https:// or http:// for your website entry. What is your current leadership role?. . . How long have you served in your current Leadership role?*Less than a year1-3 Years4-5 Years6-8 Years9-10 Years11-13 Years14-15 Years16+ Years. . . Share your biggest PERSONAL leadership challenge as a Woman Leader?*. . . How long have you dealt with this PERSONAL challenge?*Less than a year1-3 Years4-5 Years6-8 Years9-10 Years11-13 Years14-15 Years16+ Years. . . On a scale of 1-10 (10 being the highest) how important is it to get this challenge resolved?*12345678910. . . What is your PERSONAL Development Strategy for 2021?*. . . As a LEADER, where would you like to see YOURSELF in the next 6 to 12 months?* Team*How many people (men and/or women) do you have on your immediate team? i.e. 3, 4, 7. . . Share your biggest TEAM challenge as the Leader?*Your TEAM should include 3 or more people?. . . On a scale of 1-10 (10 being the highest) how important is it to get this challenge resolved within your TEAM?*12345678910. . . What is the # Obstacle that is keeping the TEAM from solving this challenge? Be really honest with yourself.*. . . What is your professional LEADERSHIP Strategy for 2021?*. . . What is your TEAM Leadership Strategy and/or Leadership Development Strategy for 2021?*. . . Where would you like to see your TEAM in the next 6 to 12 months?* Share in you own words, which 3 ideal characteristics a leader should possess as a leader.
