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Coaching Application Form

What is your name?

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Which company are you from?

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What is your position?

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A

Engineer

B

Team Lead

C

Manager

D

CTO

E

Other

How many years of work experience do you have?

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A

1-2 years

B

3-5 years

C

6-10 years

D

11+ years

Choose the reason(s) that best describes why you are applying today. You may select more than one.

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Stagnant / slow growth in my career

Struggling to be a good leader

Unsure of what's next in my career

Lack of confidence / imposter syndrome

Shy and introverted, don't speak up enough

Feeling stressed and overwhelmed

What's the biggest goal of yours that would be amazing to achieve?

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What single thing is holding you back most right now?

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What else would you like to tell me. Do you have any questions for me?

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What's your email address?

*