Please complete the following form to confirm your participation to the 2022 Governor General's Canadian Leadership Conference (GGCLC).
    Delegates have until Monday, May 31st, 2021 to submit this form.

    If the information requested below has not changed since you applied to the Conference, please leave the response fields blank.


    Important - Pressing "Enter" will automatically submit this form. We encourage you not to use this command while answering the questions below.

    CONFIRMING PARTICIPATION AND COMMITMENT TO THE GGCLC PROGRAM

    PERSONAL INFORMATION

    First Name (required)

    Last Name (required)

    Email Address (required)

    HOME COORDINATES

    Home Address

    Home City

    Home Province/Territory

    Home Postal Code

    Home Telephone

    PROFESSIONAL INFORMATION

    Professional Sector

    Position/Title

    Organization

    Address

    City

    Province/Territory

    Postal Code

    Telephone

    Cellular

    Email Address

    IMPORTANT - Please send us a revised biography and photo if you changed position or employment since you were selected as a participant

    OPTIONAL SURVEY
    To help us better plan your Conference and enhance safety protocols, we invite you complete this optional small survey.

    1. Do you expect/plan to get vaccinated for COVID-19?
    YesNoUndecidedI cannot get vaccinated due to a medical condition

    2. In your opinion, should the GGCLC consider making vaccination mandatory for participants to attend the Conference?
    YesNoUnsure

    3. Starting this fall, the monthly virtual meetings (and debriefing sessions) will become an integral part of the GGCLC experience. Considering all the sessions that were held to date, are there any additional topics that you would like to suggest for consideration and further exploration/discussion?

    4. Additional Comments?



    For more information, please contact us at info@leadershipcanada.ca