Order Form for Group Effectiveness Assessment (GEA)

Completing this form will place an order for the Group Effectiveness Assessment Report. If you do not wish to order this report. Please click the "Done" button below to return to the LCGo page.

Please complete all fields so that we have the contact information required for any needed follow-up and so we know where to deliver the report.

If you have any questions about completing this order form or about the GEA, please reach out to lani.vandusen@leadershipcircle.com.

What you will need to complete this form

Personal contact information

A PDF file that provides:

the list of Leaders to be included in the report
email addresses for all leaders
demographics for each leader that are to be used in breakout analyses

Note: The PDF file can be created from a WORD document or an EXCEL document. An example of an EXCEL PDF file is provided below.

Question Title

* Contact Information

Name

Company

Address

Address 2

City/Town

State/Region

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* Whose certification are you using to order this product? (If you are the certified practitioner just type "me" in the text box.)

Question Title

* Name of Group or Organization

Question Title

* Please upload your PDF with information on the leaders you want included in this report.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Once you have completed all fields, please click the "Done" button below to submit your order.