Beyond Burnout Group Coaching Cohorts 2023

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Thank you for your interest in the Beyond Burnout small group coaching program for women in higher ed! I'm currently considering running a cohort in June-July. We would most likely meet on Sunday afternoons (ET). Please complete the form below to help me get to know you a little and indicate which cohort you might be interested in. Completing the form is not a commitment to the program, just helping me gauge interest and schedule cohorts.

The program includes
-- six 90-minute weekly group coaching sessions
-- weekly self-reflection opportunities based on that week’s theme

-- a 60-page program workbook with short readings, reflection prompts, activities

-- one one-on-one 60-minute coaching session with Rebecca.

Price for this program, over 10 hours of direct coaching, is $499, payable in one or two installments.

Name

Preferred Email

Time Zone

Eastern

Central

Mountain

Pacific

Other:

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What brings you to the Beyond Burnout small group coaching program?

What are your goals for participating in the program?

Which description best matches your primary role in higher education? (for program tracking only)

TT/Tenured Faculty Member

Non-TT, Lecturer, Clinical/Teaching Track Faculty Member

Part-Time or Adjunct Faculty Member

Academic Affairs Adminstration

Student Life/Affairs Adminstrations

Faculty/Educational Developer

Instructional Designer/Educational Technology

Graduate Student/Postdoc

Other:

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How did you hear about the Beyond Burnout group coaching program? (For program tracking only)

Social media post by Rebecca

Shared or retweeted social media post

Rebecca's website

Colleague or peer

Direct reference from someone who has completed the program

Other:

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What is your highest degree? (For program tracking only.)

PhD or ED or other terminal degree in field

MA/MS

BA/BS

Prefer not to share.

Clear selection

What do you consider your primary discipline or area to be? (For program tracking only)

Thank you for completing this form. I'll reach out with more information once I have solidified a plan for the two cohorts. Until then, if you have an questions, please email Rebecca at agilefaculty.rpr@gmail.com.

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