ADVANCE WOMEN’S CAREER COACHING CONTAINER APPLICATION

Full Name: *

Age: *

Current Job Title: *

Company/Industry: *

Years in current role: *

Email *

Phone *

Career Assessment

Briefly describe your career journey so far (100 words max): *

What are your top 3 career goals for the next 12-24 months? *

Goal 1
Goal 2
Goal 3

On a scale of 1-10, how satisfied are you with your current career progression? Why? *

What specific challenges or obstacles are you facing in your career right now? *

Have you worked with a career coach before? If yes, please describe your experience: *

Program Fit

What attracted you to this specific coaching program? *

Which of the following areas do you feel you need the most support in? (Select all that apply) *

If, Other (please specify):

On a scale of 1-10, how comfortable are you with networking and self-promotion? *

How do you typically respond to feedback and constructive criticism? *

Describe a time when you successfully overcame a career challenge: *

Investment and Commitment

This program requires a $3500 investment. Are you comfortable with this investment in your career development? *

Yes

Need more information

How many hours per week can you commit to this program and your career development? *

What's your preferred coaching style? (e.g., direct feedback, collaborative problem-solving, etc.) *

Cultural Context

As a women and/or person of color, what unique challenges have you faced in your career? *

How does your cultural background influence your career aspirations and approach to work? *

Describe your current support system for your career development: *

Motivation and Readiness

Why are you seeking career coaching at this particular time? *

On a scale of 1-10, how ready are you to challenge yourself and step out of your comfort zone? *

What does success in this program look like for you? *

Is there anything else you'd like us to know about you or your career goals? *

Next Steps

If selected, when would you be ready to start the program? *

Do you have any questions for us about the program? *

Thank you for completing this application. We will review your responses and contact you within 5 business days to discuss the next steps.

By submitting this application, you confirm that all information provided is true and accurate to the best of your knowledge.

Signature: *

Clear

Date: *

This application covers key areas that will help qualify prospects, including their career stage, goals, challenges, cultural context, readiness for coaching, and ability to invest in the program. It also provides valuable insights that can be used to tailor the coaching approach if the applicant is accepted into the program.

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