AP - Registration Form - China — Leadership Circle

Please complete and submit the form below, using English Characters if possible, to provide your details for registration.
Our team will be in contact to arrange payment.

请填写并提交以下表格（如果可能的话，使用英文字符）以提供您的注册详细信息。我们的团队将与您联系以安排付款。

What Certification do you want to register for?

您想参加的认证是？

What Certification Dates would you like to register for?

您想参加认证的日期是？

Name (First, Last)

姓名（名字，姓氏）

First Name

Last Name

电子邮件

WeChat Username

微信用户名

Job Title

职位

Company Name

公司名称

Phone Number

电话号码

Industry

行业

Are you an Association Member?

您是协会会员吗？

Are you able to use a VPN during the Certification?

您可以在认证期间使用VPN吗？ We have found that use of a VPN improves connection stability and the participant experience of the Certification Program 我们发现使用VPN可以改善连接稳定性，并提升课程中的参与者体验

Do you speak Mandarin?

你会说普通话吗？

Please confirm your level of Spoken English

请确认您的英语口语水平

Please confirm your level of English for Reading

请确认您的英语阅读水平

Please confirm your level of English Comprehension

请确认您的英语理解水平

Please confirm your level of English for Writing

请确认您的英语写作水平

What Language would you prefer your Debrief & Mentoring in?

你希望你的报告解读以及辅导使用什么语言完成？ We will do our best to accomodate this request. 我们将尽量满足您的要求。

If you have previously completed a Leadership Circle Profile what Email was used?

如果您曾经完成过全景领导力测评报告，您完成报告的电子邮件是什么？

If you have previously completed a Leadership Circle Profile, approximately when?

如果您曾经完成了全景领导力测评报告，大约是什么时候完成的？

Do you have Prior Coaching Experience?

您是否有教练经验？ During the certification process you will be evaluated regarding your capability to work with the Leadership Circle Profile (LCP). Delivering and debriefing an LCP requires a sound level of coaching ability which is why The Leadership Circle expects participants to have prior coaching and/or one-on-one development experience. 在认证过程中，将评估您使用全景领导力个人报告（LCP)的能力。交付和报告解读需要良好的教练能力。所以我们希望参与者具有教练或一对一人才发展经验。

Describe your Coaching Experience

描述您的教练经验

Consulting Model

咨询模式

Were you Referred to The Leadership Circle

您是否有推荐人？

Referral Name and Email Address

推荐人的姓名和电子邮件地址 Please provide a name, email address, or both for your referral. 请提供您的推荐人的姓名或邮件地址，或者同时提供姓名和邮件地址

Address (邮寄地址)

Your address to send Certification Materials (If you are working from home please make sure this is an address where you can receive your delivery) 用以寄送您认证所需的材料（如果您在家办公，请确保此地址可以收到物料）

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Comments

其他

If you have any questions about Certification or Registration please contact us by email or phone +61 2 8528 1659.