Leadership Readiness Assessment Almost there! The following additional confidential information would be appreciated. Thank you. Your Name: Your Surname: Your Organization: Your Email Address: *where the report will be sent to. Your Email Address: *for security/confidentiality please re-enter your email address. Are you a: (please select as many as applicable) Course Participant: Previous Current Neither Course Manager/Mentor: Previous Current Neither Have you previously dealt with an representative? If so, who? Next