VANTIS Launch™ Application Form

12-Week Emerging Leadership Development Experience

Thank you for your interest in VANTIS Launch™. This application helps us understand your leadership goals, current role, and readiness for the program.

Applicant Information

First name

Last name

Email

Phone

Address

LinkedIn Profile

Professional Background

Current Role/Title:

Organization/Company:

Industry:

Years of Professional Experience:

Years in Leadership or Management:

Leadership Stage

Which best describes you?

I am preparing for my first leadership role

I am newly promoted into leadership

I am a new manager

I am leading a team for the first time

I am an emerging executive

I am rebuilding confidence after a leadership transition

Other

Leadership Goals

What prompted you to apply for VANTIS Launch™?

What are your top three leadership development goals?

What leadership challenges are you currently navigating?

What would success look like for you at the end of 12 weeks?

VANTIS™ Leadership Readiness

Please rate yourself from 1-10 in each area

Vision - Leadership clarity and strategic direction:

Alignment - Communication, expectations, and team cohesion:

Navigation - Decision-making under pressure and complexity:

Transformation - Growth, adaptability, and leadership evolution:

Influence - Communication, credibility, and executive presence:

Sustainability - Resilience, consistency, and long-term leadership effectiveness:

Program Fit

Which program format are you most interested in?

Individual coaching experience

Small group cohort

Corporate-sponsored cohort

Not sure yet

Are you applying personally or through an employer/organization?

Personally

Employer-sponsored

Exploring both

Investment Readiness

Are you prepared to invest time and energy into a 12-week leadership development experience?

Yes

Not sure

I would like to discuss expectations first

Would you like information about payment options or employer sponsorship language?

Yes

No

Maybe

Additional Information

Is there anything else you would like us to know about your leadership journey, goals, or current challenges?

Agreement

By submitting this application, I understand that completion of this form does not guarantee enrollment. VANTIS Launch™ is designed to ensure strong fit, readiness, and alignment between participant goals and program outcomes.

Acknowledgment:

I understand and agree.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date picker