Executive Circle Application

Step One

If you have already spoken with Heather Kaye or Terri Lupberger and have been accepted into the program. Please submit your application and tuition.

If not send an email to arrange a phone call with Heather Kaye. Take a moment to read the Rules of Engagement below.

Contact Heather Kaye

Rules of Engagement

Each participant in the Executive Circle is asked to agree to the Rules of Engagement below.

  • Commit to the process. This is a small group and everyone’s commitment, openness and vulnerability is important to build cohesiveness and trust.
  • Arrive on time. Being late is disrespectful to other participants, is a not a positive leadership move and impacts your reputation and integrity with the group.
  • Participate fully. Be willing to share openly and honestly, challenge your own assumptions, and provide as well as receive feedback.
  • Keep confidentiality. You will learn confidential information about individuals and organizations, be sure it stays in the room and is not repeated.
  • Meet with a new member of the group between each session.
  • Practice generous listening. Keep an open mind and don’t rush to any judgments or conclusions of others or their situations.
  • Pay it forward. Share your learning with your staff (and colleagues).
  • Provide a written evaluation (and if desired, a quote to pass on to potential new participants).
  • Enroll a participant in the next session (if you find the process valuable).
  • Attend the sessions. If you miss more than one session without being excused, we ask that you withdraw from the group.

Step Two

Send your Information

If you have not spoken directly with Heather Kaye, please fill out the following information to schedule a phone interview. All fields must be filled out.

    Your Contact Information

    [text* your-organization "Organization]

    How long have you been at your organization?

    How long have you been in your current position?

    What are your primary job responsibilities?

    How many people report to you?

    What budget/ outcomes are you responsible for currently?

    What’s working really well for you right now?

    What are the primary challenges or ceilings you are facing (professional and/or personal)?

    What do you want to shift/change….and why?

    What do you most “care” about?  What is most meaningful to you? (write as much or as little as you want)

    What goals and/or expectations do you have for the program?

    Have you ever engaged a leadership coach? Share your experience.

    What 3 things do you want us to know about you?

    Check to verify that you have read and agree to the Rules of Engagement and Withdrawal and Refund Policy.

    Step Three

    Program Tuition

    Your place in the program is not secure without meeting the financial obligations outlined.

    Tuition – $4,450
    Nonprofit Tuition – $3,850
    Deposit due: $1,500
    Balance due no later than August 15, 2015


    Early Bird Tuition – $4,150
    Application and deposit must be received no later than June 15, 2015
    Deposit due: $1,500
    Balance due no later than August 15, 2015

    Program Withdrawal and Refund Policy

    Prior to the start of the program, written notification of your withdrawal—letter or e-mail is required. $500 of your deposit is non-refundable. If you withdraw from the program at least 30 days prior to the first day of the program, your payment will be refunded within two weeks of written withdrawal notification. Thirty days prior to commencement of the program, no refunds will be given. Transfer of your spot is permissible, with approval.


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