1.Name

2.Email Address

3.Country

4.LinkedIN URL

5.Have you been affected by job loss at USG, a nonprofit partner or contractor or are you exploring a career transition?

Yes

No

Other (please specify)

6.Does your professional focus involve any of the areas below. Check all that apply.

Law

Tech

International development

Investment Finance (International development related)

Other

None of the above

7.I am interested in: (check all that apply)

Personalized 1 to 1 Executive Coaching

Peer Group Coaching (small groups of 6-8 individuals with common interests guided by an executive coach)

Both

8.Executive Coaching Packages ae offered for a flat fee based on our coaches' nonprofit rates. A limited number of sponsorships may be available for those requiring financial support to participate. Please select the pertinent box below.

I am interested in paid packages.

I am only interested in sponsored packages.

9.What is your professional level?

Executive-Advanced Career-15 plus years or experience or founder/C-Suite executive

Mid-career professional-10-15 years experience

Late early career 6-9 years experience

10.What goals would you like to address through coaching? Share 3-4 bullets