Application to Host a Lean Sensei Greenbelt Kaizen Event Company Name * Company Contact Person Name * Company Contact Person Job Title * Email * Phone * Address * Address Line 2 City * Province * AB BC MB NB NL NS NU ON PE QC SK YT Postal Code Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Which Kaizen(s) are you interested in hosting? 5S Waste Reduction Kaizen Cycle Time Reduction (Operations-based) Process Time Reduction (Service-based) Lean Office Kaizen Value Innovation Kaizen (focused on the customer experience) Are you able to provide breakfast and lunch for 8-20 participants for all three days? * Yes No It is important that the employees working in the chosen project areas have time available to work with the Greenbelts. Are you able to free up stakeholder time during the Kaizen? * Yes Maybe No The number of individual projects required depends on the size of each particular Greenbelt class and can vary. Are you able to provide up to 5 project areas for the group, if needed? * Yes No Please check off if you have the following at your location: * Training room available for up to 20 people 3-4 Breakout areas or rooms for teams to work in Wifi availability Projector or Projector connectivity Screen Will participants be required to do any of the following? Sign-in at front desk Safety requirements such as steel-toed shoes, protective glasses, hairnets, close-toed shoes, etc. Sign a Non-Disclosure Agreement None When are you available to host? * January - March April - June July - September October - December Any additional comments or questions? Pictures of the proposed project areas (optional, but recommended) Drop a file here or click to upload Choose File Maximum upload size: 67.11MB If you are human, leave this field blank.