Continuing executive student

NB: This form is for applicants who have previously completed a leadership course at PALI. If this is your first course at PALI click on this link; http://www.panafricanleadership.institute/newstudent to use the new executive student application form.

Title

Mr. / Mrs / Ms. / Dr. / Prof. / etc.

Other Official Title (if any) e.g.: Chief, HRH, Captain, Air Vice Marshall, Princess, etc.

Full Name (as should appear on your Leadership Certificate after the course)

First Name

Last Name

Gender

Male

Female

Primary Email

Phone number (Primary)

+ (Country code) Phone number

Occupation / Profession

Organisation

Primary place of work or affiliation

Country of Residence

Which previous course did you take at PALI?

If this is your first course at PALI click on this link http://www.panafricanleadership.institute/newstudent to use the new executive student application form.

Which modules are you interested in?

You can select more than one.

November 2024 (Gate Way To Africa Leadership Course) - $390

January 12th - 19th 2025 (Leadership Immersion Program (Ghana)) - $1,490 (Includes Course Fee, Local Travel, Selected Meals, T-Shirt, Graduation, Dinner, Shared accommodation for 7 nights)

What are your expectations from this course/module?

How did you hear about us?

Select one

If "Other" or "Word of Mouth", please tell us where you heard about us or who you heard it from.

Highest Ethical Standards for Leaders

I understand that by enrolling at PALI, I am now part of a global community of leaders with the highest ethical standards; driven by love, integrity, respect, excellence and service. I am among the most respected leaders in the world.

Networking with senior leaders around the world

I understand that effective leadership thrives on one's network (your network is your net worth) and I am open to networking, relationship building, and learning from other global leaders.

Graduation

I am open to being invited to join the Graduation ceremony (virtually or in-person) to mark the formal successful completion of my course/program.

Requirements

Yes, I understand that this is a fee paying course and I will honour my fee obligations.

Please see the FAQs section for our cancellation and refund policy.