JOIN US GLOBAL WOMEN ON BOARDS 2025 – Application Form IntroductionGLOBAL WOMEN ON BOARDS 2025 Thank you for your interest in the Global Women On Boards Programme. Please spend 15-20 minutes of your time to complete the application form. Your data is collected and stored in accordance to our privacy policy. Admission Criteria: Admission to the Programme is limited to individuals with specific business or board experience. All applicants will be subject to review and approval from the Admission Committee. Terms & Conditions1. Payment• Upon successful acceptance into the programme, full payment must be made no later than the programme start date. 1.1 MALAYSIAN PAYMENTS: • Cheques/Bank Draft should be made payable to LeadWomen Sdn Bhd• Direct Bank-in: CIMB Bank Account No. 8002618727, Swift Code CIBBMYKL.• Please email payment advice to [email protected] 1.2 KENYA PAYMENTS:• Cheques/Bank Draft should be made payable to The Women on Boards Network• Direct Bank-in: Account Number: 1225986532 (USD)• Branch: KCB Bank – Nairobi High Court Branch• Please email payment advice to [email protected]1.3 Cancellation & Refund• Non-attendance does not constitute cancellation. You can propose a substitute for the programme, however, the substitute participant will need to submit an application and gain approval by the GWOB Committee to attend.• Substitution/Cancellation must be received in writing to Ms Anne Abraham at [email protected], or Ms Agnes Wanga at [email protected] 4 weeks before the event.• Administration fee of 20% will be charged for cancellation.• Cancellations less than 4 weeks before the event will not be refunded.• No shows will result in full forfeiture of the fee you made to the programme.1.4 For Government Officials• A Local Order (LO) or Letter of Approval to participate must be sent before the event 2. Data protection and policy The name and photo associated with your Google account will be recorded when you upload files and submit this form. Your email is not part of your response.Any files that are uploaded will be shared with the organising committee and the programme faculty for the purpose of this programme. To learn more about our privacy policy, you can refer to www.lead-women.com/privacy 3. Disclaimer• The Organiser reserves the right to change the date(s), speaker(s), and venue and to cancel the programme due to circumstances beyond the Organiser’s control. 4. Consent By clicking "Next", you have acknowledged the terms and conditions above. Section 1: PERSONAL DETAILSNameEmail AddressPhoneAgeCheckboxDegreeMasterPhDOtherOther EducationSection 2: CURRENT OCCUPATIONCompanyDesignationYear begunNo. of staff reporting to youImmediate Superior (if applicable)DesignationHis/her immediate Superior: (Please specify designation)Do you fulfill any of the following criteria?Currently serving on a private, non-profit or public listed boardHave served on a private, non-profit or public-listed boardHave leadership experience at C-Level, partner or director level and have completed a related Director Readiness ProgrammeAn established entrepreneur with a turnover of minimum RM 1.0 millionNone of the aboveSection 3: EXECUTIVE HISTORY(Last held executive position)CompanyDesignationYear begunYear endedSection 4: PROFIT & LOSS EXPERIENCEDo you have P&L experience?YesNoIf yes, please indicate:DirectIndirectSection 5: FUNCTIONAL COMPETENCIES/SKILLS(List maximum up to 5)AuditFinance/AccountingTaxInvestment ManagementAsset ManagementBusiness ConsultingReal Estate/FacilityLegal/GovernanceMerger & AcquisitionRisk ManagementOperations ManagementManufacturing ProcessEngineering ProcessInternational BusinessHuman ResourceCommunication/PRFund RaisingSales & MarketingProduct MarketingProduct DesignResearch & DevelopmentTechnologyOtherOther Functional Competencies/skillsSection 6: INDUSTRY EXPERTISE(List maximum up to 3)Audit/Tax/AccountingAgriculture/Forestry/FishingBanking/Financial ServicesBiotechnologyChemicalCommunication/MediaConstructionOil & GasConsulting ServicesConsumer ProductsEducation/AcademiaEnergy/UtilitiesEngineeringHealthcareInsuranceGovernmentTelecommunicationICTLegal PracticeManufacturingReal EstateProperty DevelopmentTransportationLogisticsNGOsOtherOther Industry OptionSection 7: BOARD EXPERIENCEAre you currently sitting on any boards (public, private or non-profit)?YesNoIf YES, provide company name(s), your role and date appointed:Company NameBoard Role (E.g. Independent Non-Executive Director)Committee RoleDate AppointedDo you have any prior board experience? Please indicate below the name of the company and duration of your service as board member?Please indicate the type of board that you were a part of or currently sitting on?Public-listed companyPrivate companyNon-Profit OrganizationFamily-run BusinessAcademic OrganizationStart-up / EntrepreneurshipSection 8: BOARD PREFERENCEIf you aspire to serve on board, what are your preferences in terms of the following:Which Industry? (Please enter 1 or up to a maximum of 3)Board outside of your country of residence?YesNoBoard TypePublicSubsidiaryPrivateNon-ProfitSection 9: OTHER INFORMATIONPlease state three (3) things you hope to gain from this programWhat areas are you most qualified in contributing if you join a board?AuditGovernance and ComplianceExecutive StrategyNomination / RemunerationRisk / FinanceHow did you hear about this programme?EmailBrochureWord of mouthVia LeadWomenVia Women on Boards Network KenyaVia Boardroom.comVia Columbia Global CentersOther:Other Hear About USPlease upload your CVChoose FileNo file chosenDelete uploaded fileIf your file exceeds the limit, kindly email it to [email protected] and [email protected]PAYMENT INFORMATION (Subject to Acceptance)Global Women On Boards (GWOB) June - November 2025Venue: Online & Paris, France for Graduation Ceremony BILLING PARTICULARS NameEmail AddressPhonePositionBilling Company:Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweMailing Address:Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePlease indicate the organization that you would like to liaise with for the payment of the program?LeadWomen (Malaysia)Women on Boards Network (Kenya)OtherOther Payment OptionSend MessageSave as DraftPlease do not fill in this field.