Register for CliftonStrengths® 34 Workshop:

Please complete this application to register for a CliftonStrengths® 34 Workshop.

It is the policy of Sophia to provide equal opportunities for acceptance into this program without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

CliftonStrengths® 34 Application

Name*
First Last
Email*
Phone*
Organization
Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are you hoping to accomplish as a participant of CliftonStrengths® 34?*
Have you taken the CliftonStrengths® 34 Assessment before? If so, when?*
Register me to attend the following workshop date:
- Thursday June 19, 2025 (in-person)
- Wednesday August 6, 2025 (virtual)
- Contact me about a date or time not listed.
Cancellations will be accepted 14 days prior to the start of the workshop.
I would like to pay by:
- Invoice
- Credit Card
- Send Check in Advance
The Contact will receive a registration confirmation email with payment instructions upon receipt of this registration form. NOTE: Credit card payment will include a processing fee charge.
If applicable, Invoice or Credit Card Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Invoice or Credit Card contact email, if different from above.
Special Billing Instructions
Include any instructions, including name, mailing address or email of contact to receiving billing information.
Photo Release Policy*
I grant Sophia Transformative Leadership Partners, hereinafter Sophia, its representatives and employees, the right to take photographs, video, or audio recordings of me and my property in connection with CliftonStrengths® 34. I authorize Sophia, its assignees and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Sophia may use media of my image or voice with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
I acknowledge that I have read and understood the photo release form.
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Phone
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