Personal Details

Full Name

Email *

Phone *

City *

LinkedIn Profile

Professional Landscape

Current Role & Organisation

Brief Career Summary (3-5 lines)

What industry are you in?

Years in Leadership/Management

Depth & Readiness

Why does this program speak to you right now? (What stirred in you as you read about The Resonant Leader Circle?)

What inner work have you already done? (Mentoring, therapy, retreats, meditation, coaching—describe any meaningful journeys.)

What is currently stretching or challenging you most as a leader?

What are you seeking to shift or transform within yourself through this experience?

What does the phrase “protect your peace” mean to you?

How do you invest in your own mental, physical and social wellbeing? (Daily or weekly rituals, habits, support systems, etc.)

Commitment & Capacity

Are you able to attend the in-person retreat on the 13th & 14th Nov 2025 at The Cambium (Red Hill, Victoria)?

Yes

Would like to discuss

Can you commit to the full 12-month container, including online mentoring and self-guided modules?

Yes

Would like to discuss

How do you prefer to pay your investment?

In full ($17,700 AUD)

In 4 instalments ($4,800 AUD each)

Do you have any additional questions or context you’d like to share with us?

Final Reflection

If you were to join The Resonant Leader Circle, what would make the experience profoundly worthwhile for you—personally or professionally?