Tech Queens Intake Form
Join the waitlist to receive early notification when enrollment opens for the upcoming Tech Queens coaching community.
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Email *
Full Name *
Current Company *
Current Role *
Professional Experience Level *
Experience Level in Current Role *
What are your biggest career goals right now? *
What are the biggest challenges you're facing in your career right now? *
What would you identify as your biggest areas for growth?  *
Required
What are you hoping to gain from this program coaching? *
Refer a friend! 
If you both enroll, you'll both receive a free copy of the book: "Master Build Accelerate: How Women in Tech Can Get Promoted, Increase Their Income, and Become Leaders." Share their full name and email below. 
A copy of your responses will be emailed to the address you provided.
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