women in leadership

Participant Agreement

"*" indicates required fields

Name*

First Last

Preferred Mailing Address*

Home

Work

Address*

Street Address Address Line 2 City State ZIP Code

Preferred e-mail address*

Enter Email Confirm Email

Preferred Phone Number*

Name as you would like it to appear on your official name badge:*

First Last

Please enter the information below as you would like it to appear on the press release

Name*

First Last

Job Title*

Organization*

Program Information

Do you have any dietary restrictions? If so, please indicate:

Do you have any dietary preferences? If so, please indicate:

i.e. coffee vs. tea

Do you require any special accommodations? If so, please describe your needs:

Emergency Contact

Name

First Last

Phone

Relationship To You

Schedule

Fall 2026 Women In Leadership Calendar

Participation in the program requires a commitment to be present at all seminars. By completing and submitting this agreement, you are making that commitment.

Financial Obligation

Tuition / Scholarship*

The investment/tuition in your growth and development in WIL is $2,500. Please indicate who the responsible party will be for your tuition below.

Applicant/Self

Employer

Other

There is limited financial assistance for WIL. To be considered for a scholarship, please complete form by August 7, 2026: Scholarship Application

All program fees are non-refundable.

Community Agreements

Community agreements are essential for fostering civil discussions and creating a safe and respectful environment at FOCUS St. Louis program seminars and policy forums.

To that end, below are the expectations that we have for everyone attending our programming:

Respectful Communication: We commit to communicating with respect and courtesy, valuing the diversity of opinions and experiences within the community.

Active Listening: We will listen attentively to others without interrupting, allowing everyone to express their thoughts and ideas fully and seek to understand different perspectives before formulating our responses, fostering a deeper and more inclusive exchange of ideas.

Constructive Criticism: We will offer feedback and engage in discussions in a constructive and helpful manner, focusing on ideas rather than attacking individuals.

Confidentiality: We will maintain confidentiality and respect the privacy of others, refraining from sharing personal information or discussions outside the seminar setting without explicit consent.

Open-mindedness: We will approach discussions with an open mind, being willing to challenge our own perspectives and consider different viewpoints.

One Speaker at a Time: We will speak one at a time, ensuring that everyone has an opportunity to be heard and reducing interruptions or crosstalk.

Use “I” Statements: We will use “I” statements to express our opinions and experiences, recognizing that they are personal and may not apply to others.

Step Up, Step Back: We will encourage equal participation by being mindful of our speaking time and actively inviting others to contribute who may be quieter or less likely to speak up.

No Hate Speech or Discrimination: We will not engage in or tolerate hate speech, discrimination, or any form of harassment based on race, ethnicity, gender, sexual orientation, religion, or any other protected characteristic/demographic.

Learn from Each Other: We recognize that everyone in the community brings valuable knowledge and experiences. We will strive to learn from one another and appreciate the collective wisdom present in the room.

Take Responsibility for Impact: We will be aware of the potential impact of our words and actions and take responsibility for their effect on others. If someone points out that we have caused harm, we will be open to learning, apologizing, and making amends.

Embrace Discomfort: We understand that discussing complex civic issues can be challenging and may lead to discomfort. We will embrace this discomfort as an opportunity for growth and learning.

Please check the box below to indicate your participation*

I will participate in the Women In Leadership program.

I will NOT participate in the Women In Leadership program.

Name*
First Last