This is an application, not a registration.

We are curating a select cohort of 15 high performing women executives who lead teams or companies, manage significant P&L or revenue, and are ready to tackle real strategic challenges together. This is not a leisure retreat.

It is a space to level up alongside peers operating at your level.

First Name *

Last Name *

Email *

Current Role/Title *

Company/Organization Name: *

LinkedIn Profile: *

Company Revenue: *

Size of Team/Organization You Lead or Influence *

How many years have you been in an executive or senior leadership role? *

What is the #1 strategic leadership or talent challenge you want to solve in the next 12 months? *

Try to be specific. We want real problems, not “work-life balance” as the primary driver.

On a scale of 1–10, how committed are you to implementing a 90-day action plan when you return from the retreat? *

This retreat is an investment of $4,000 (all-inclusive - payable in installments) plus your time ... Are you ready and able to invest at this level? *

Yes

What do you want most from being in a room with 14 other high-level women executives? *

Try to be specific. Not “networking” or “fun” as primary

How did you hear about Level Up EmpowerHer? *

Anything else we should know about why you’re a perfect fit for this cohort? *

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