21/22 Cohort Registration Forms

Here are the steps to get you registered and prepared for the Agents of Change Women's Community Leadership Programme:

Step 1: Accept your offer by completing the online Cohort Registration & Consent Form or downloading a word copy here.

Step 2: Watch the replay of the Pre-Meet & Greet

Step 3: Complete the online Personal Bio and Headshot Form or download a word copy here.

Step 4: Complete the online Mentee Application Form or download a word copy here.

Step 5: Complete the online Pre-Programme Survey.

Our partners

Agents of Change is delivered in partnership with Imperial College London, Hammersmith United Charities, Lyric Hammersmith and The Borough of Hammersmith & Fulham.