Registrant Information

Name *
Name
Coffee/tea, lunch, and morning/afternoon snacks are provided each day. Please let us know if you have any preferences, allergies, etc. that we can worry about for you so that you can focus on getting the most out of the program.
Are you traveling to join us? If so, let us know so that we can include hotel suggestions and related info in your welcome packet.
As part of your Workplace 360, you'll be asked to nominate raters who are familiar with your workplace behavior. Many in the coaching/consulting industries work mostly solo. If you have a unique work environment, please let us know so that we can reach out with additional instruction for taking the assessment.
Purchase agreement *
Completing this registration form confirms my attendance to the Genos Emotional Intelligence Certification Event and begins the certification process. I understand that I will not receive certification materials or the results of any assessment(s) I may participate in until payment has been rendered.