Register - Lean Sensei International

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Personal Details

First Name *

Last Name *

Job Title *

Company Name *

Contact Phone Number *

Alternate Phone Number

Email *

Company Address *

Company Address Line 2

City *

Province / State *

Postal Code *

Country *

Program Choice (Please choose carefully)

Which program would you like to register for? *

Are you a Lean Sensei Greenbelt or Blackbelt graduate? *

Yes - Greenbelt Only

Yes - Greenbelt and Blackbelt

Yes - Blackbelt Only

No - Other programs

No - Never taken any programs

What year did you complete your last certification (either Greenbelt or Blackbelt)? *

Program Registration Details

Greenbelt Program Location *

Lean-Agile Program Location *

Whitebelt Program Location *

Blackbelt Program Location *

Executive Program Name *

Juku Program Name *

Program Season (Check our calendar for correct season) *

How will you be paying? *

What is your jacket size? *

For sizing charts, please click here.

Blackbelt Program Season (Check our calendar for correct season) *

What is your shirt size? *

For sizing charts, please click here.

What name would you like to appear on your program certificate? Please be specific *

e.g. John Smith, John A. Smith, John Adam Smith, John A. Smith Jr etc.

Greenbelt Candidates Only - Have you completed the Myers-Briggs Type Indicator (R) (MBTI) personality inventory? *

Yes

If yes, how long ago did you complete the assessment? *

1-12 months ago

More than 12 months ago

Sponsor's Details

Are you being sponsored to complete this program? *

Sponsors are usually executive level managers who support and encourage your Lean activity. Usually your sponsor will be your direct supervisor, manager or Lean leader at your organization.

Yes

Sponsor's First Name *

Sponsor's Last Name *

Sponsor's Job Title *

Sponsor's Phone Number *

Sponsor's Email *