Regenerative Climate Coaching Intake Form

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Thank you for your interest in Soil Centric's Regenerative Climate Coaching.
The information collected here will give us a better sense of your path and how our
coaches can help you hone in on organizations, opportunities and resources to
help you determine a direction and next steps. After you submit this form, we'll be

in touch to schedule your first session.

Please note we do not sell or distribute any information collected in this survey.

Email *

First Name

Last Name

Your Time Zone

How long have you been working?

I am just starting out

I've been in the workforce for 1 - 4 years

I've been in the workforce for 5 - 10 years

I've been in the workforce for 11+ years

Other:

Clear selection

Please select all that apply:

I want to make a career switch

I want to make my current work more regenerative

I want to design a career trajectory

I want to do physical work / get my hands very dirty

I want to play a supporting roll in regeneration / ecosystem restoration

Your Location

What kind of Session best suits you?
*

Established professional: $200.00 per one hour session

Non-profit rate: $125.00 per one hour session

Student rate: $50.00 per half hour session

Pro-bono session (limited availbility)

Would you prefer to speak with Judith Schwartz or Diana Donlon?
*

I'd like to speak with Judith Schwartz

I'd like to speak with Diana Donlon

I'm excited to speak with either person

What else should we know about you in advance?

Send me a copy of my responses.

Submit

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