Company License Application

The application below should be completed if you are looking to license your company to conduct our facilitated seminars. Approved licenses are granted to companies versus individuals. Upon receipt of the licensing application, we will be in contact to set up a phone appointment to discuss next steps.

Prefix (required)
Dr.Mr.Ms.

  • First Name (required)
  • Preferred Name (required)
  • Last Name (required)
  • Your Email (required)
  • Your Company (required)
  • Your Title (required)
  • Phone Number (required)
  • Mobile Phone
  • Mailing Address (required)
  • Address line 2
  • City (required)
  • State (required)
  • Zip Code (required)
  • Company Website (required)
  • Number of employees at your location
  • Total number of employees company-wide

Does your company have greater than 50% ownership in any subsidiaries?
YesNo

If yes, please list each qualifying subsidiary:

In which department of the company do you work:

How did you hear about Bell Leadership's Licensed Programs:

How long have you been with your organization:

When do you plan to implement this training in your organization:

What is the total number of people in your company you plan to train:

How many people do you plan to train each year:

Please list other training programs you use within your company:

Please list any other training programs you are certified to teach:

Please list your current responsibilities within your organization:

General Information: All seminars required for certification as a licensed facilitator will be held in Chapel Hill, North Carolina, on the University of North Carolina Chapel Hill campus. Chapel Hill is approximately 25 minutes from the Raleigh Durham (RDU) International Airport.

Intellectual Property: We ask that you respect Bell Leadership Institute's copyright. The Bell Leadership training programs, training materials, and marks are owned entirely and copyrighted by Bell Leadership and are made available to licensees only under limited license from Bell Leadership. Licensees shall not make any derivative works whatsoever, unless specific written approval is given by Bell Leadership. Licensees shall not disclose, lend or transfer the Bell Leadership training programs or the training materials to any third party for any purpose. Any unauthorized use of Bell Leadership's training programs, training materials, and marks shall constitute a material breach of the Leadership Training Limited License Agreement.

By typing your full name in the box below, you indicate you have read and understand the terms of Bell Leadership's Intellectual Property statement.