Skip to content
Registration Form
Free Membership
We want to communicate with you in the way that is most helpful for you. Please share what you are interested in, so that we can tailor our communication for you
1.
First Name
2.
Last Name
3.
Email
4.
Resume
Not Required. We are creating a resume bank to identify and match members with potential opportunities.
Choose File
No file chosen
5.
How young are you?
Under 40
Under 50
Under 60
Under 70
Under 80
Above 80
6.
Are you currently employed?
Yes, Part time
Yes, Full time
Yes, Unpaid (Non Profit or Volunteer work)
No, but I want to be
No, and I do not want to be
7.
My Next Stage has a weekly Teams meeting. What types of speakers would you be interested in hearing. (select all that apply)
Headhunters/Recruiters
HR Specialists
Success Stories
Career Coaches
Other (please specify)
8.
How helpful would you find sessions around these topics. (5 high, 1 low)
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Consulting
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Coaching
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Fractional Executive
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
1099 Employee
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
GIG/Project Worker
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Starting a Business
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Board Members
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Working with Public Sector
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Working for Non Profits
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Teaching
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
9.
What type of platforms would you like to participate in? (select all that apply)
Weekly Emails
Zoom Sessions
Blogs
Community
Website (Resources & Information Hub)
Networking Groups
Podcasts
Other (please specify)
10.
How helpful would resources in these areas be to you. (5 high, 1 low)
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Job Referrals
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Resource Referrals
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Healthcare Insurance
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Retirement Plan
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Bookkeeping & Accounting
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Marketing Yourself & Your Business
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Networking Online/Offline Cocktail parties
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Career Coach
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Life Coach
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Linkedin Consulting and Marketing
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Mentors
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
Interview Coaching
1 Not Needed
2 Low Priority
3 Neutral
4 Nice to Have
5 Must Have
11.
What type of referrals would you be interested in receiving?
Jobs
Like minded peers
Cross-industry groups
Industry groups
Other (please specify)
12.
What can we do to help you in your job search?
