Uplift Protocol Application Form Partner with Uplift – Application Form Section 1: Basic Information Full Name Organization / Company Name Your Role / Title Email Address Phone / WhatsApp (optional) Country / Region —Please choose an option—LebanonUAESaudi ArabiaQatarKuwaitBahrainOmanEgyptJordanTurkeyUKUSACanadaAustraliaOther Section 2: About Your Work Website / LinkedIn / Company Profile (optional) What best describes your work? (Select all that apply) Leadership training companyExecutive / leadership coachOrganizational development consultantHR / L&D providerUniversity / academic institutionRetreat / immersion program organizerOther If you selected “Other”, please specify (optional) Consent & Submission I understand that submitting this form does not guarantee acceptance into partnership.