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Clark Leadership Consulting

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Ready to Reimagine
Your Future?

The Power of Five

Application Form

Section 1: Your Profile

Section 2: Current Status

*** ALL INFORMATION PROVIDED IS CONFIDENTIAL & IS STORED IN A ENCRYPTED DATABASE ***

Are you currently Employed?

*Name of Employer is not required.

Name of Employer is not required.

Section 3: Motivation & Goals

On a scale of 1 to 10, how committed are you to investing time and energy in your reinvention?

Section 4: Logistics

Will you be able to attend all four evening sessions?

(It is required to attend all four sessions in order to qualify.)

Are you available for a brief video interview prior to final acceptance?

Section 5: Scholarship Consideration (Optional)


(As part of our pilot launch, a scholarship will waive the full $249 program fee—making participation completely cost-free for selected individuals.)

Are you interested in being considered for a fulll scholarship due to a financial hardship?

Final Notes

Each Power of Five class is highly selective - only five participants from highly motivated applicants from across the country will be accepted.

We review applications with care and follow up promptly.

Be prepared to step into a future you may not have yet imagined.

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