Leadership Access Membership

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Welcome! We're so thrilled that you're interested in taking your career and business to the next level of growth.

Please take a moment to complete this questionnaire. Your responses will help us ensure that our program aligns with your professional goals and organization’s challenges and that you are well-suited for this unique opportunity.

What is your name? *

What is your email address? *

What is your job title? *

Please add your LinkedIn Profile *

What are your goals and leadership challenges?

I want to be promoted.

I'm looking to increase my influence within the company.

I need clarity on my career.

I'm seeking advice, feedback, and input regarding my role.

I want to resolve team conflict.

I want to develop an expertise.

I want mentors and advisors to help me build a business.

Other:

Required

Which skill or area are you looking to enhance in yourself?

My leadership ability and presence

My public speaking

My ability to strategize

My technology savviness

My knowledge expertise

My ability to resolve conflicts

Other:

Required

What expertise do you need from your executive mentors? (Choose all that apply).

Strategic Communication and Branding

Digital Transformation and AI Integration

Data Analytics and Strategy

Leadership and Talent Development

Mindfulness and Resilience Coaching

Other:

Required

Which aspects of the Leadership ACCESS program are you most interested in? (Check all that apply)

1-1 Mentorship and advising

Masterclass and workshops

Strategic toolkit and framework

Women Peer Community

Other:

Required

If you have chosen any of your executive mentors, please add their names below. See all our advisors here.

If someone referred you, please add their name.

Is there any other thing that you would like to share about yourself?

We will get back to you shortly. Thank you for your patience.

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