Register - Lean Sensei International

Personal Details

First Name *

Last Name *

Job Title *

Company Name *

Direct Phone Number *

Cell Phone Number *

Email *

Company Address *

Company Address Line 2

City *

Province / State *

Postal Code *

Country *

Program Registration Details

Greenbelt Program Location *

Lean Agile Program Location *

Whitebelt Program Location *

Blackbelt Program Location *

Executive Program Name *

Juku Program Name *

Japan Benchmarking Tour Location *

In-House Program Location *

Workshop Program Location * Workshop Program Location

Program Season (Check our calendar for correct season) *

How will you be paying? *

What is your jacket size? *

What is your shirt size? *

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 *

Personal Details

Program Choice (Please choose carefully)

Program Registration Details

Sponsor's Details