Registration Form Survey

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Resume

Not Required. We are creating a resume bank to identify and match members with potential opportunities.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 5. How young are you?

Under 40

Under 50

Under 60

Under 70

Under 80

Above 80

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* 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

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* 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)

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* 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	Consulting 1 Not Needed	Consulting 2 Low Priority	Consulting 3 Neutral	Consulting 4 Nice to Have	Consulting 5 Must Have
Coaching	Coaching 1 Not Needed	Coaching 2 Low Priority	Coaching 3 Neutral	Coaching 4 Nice to Have	Coaching 5 Must Have
Fractional Executive	Fractional Executive 1 Not Needed	Fractional Executive 2 Low Priority	Fractional Executive 3 Neutral	Fractional Executive 4 Nice to Have	Fractional Executive 5 Must Have
1099 Employee	1099 Employee 1 Not Needed	1099 Employee 2 Low Priority	1099 Employee 3 Neutral	1099 Employee 4 Nice to Have	1099 Employee 5 Must Have
GIG/Project Worker	GIG/Project Worker 1 Not Needed	GIG/Project Worker 2 Low Priority	GIG/Project Worker 3 Neutral	GIG/Project Worker 4 Nice to Have	GIG/Project Worker 5 Must Have
Starting a Business	Starting a Business 1 Not Needed	Starting a Business 2 Low Priority	Starting a Business 3 Neutral	Starting a Business 4 Nice to Have	Starting a Business 5 Must Have
Board Members	Board Members 1 Not Needed	Board Members 2 Low Priority	Board Members 3 Neutral	Board Members 4 Nice to Have	Board Members 5 Must Have
Working with Public Sector	Working with Public Sector 1 Not Needed	Working with Public Sector 2 Low Priority	Working with Public Sector 3 Neutral	Working with Public Sector 4 Nice to Have	Working with Public Sector 5 Must Have
Working for Non Profits	Working for Non Profits 1 Not Needed	Working for Non Profits 2 Low Priority	Working for Non Profits 3 Neutral	Working for Non Profits 4 Nice to Have	Working for Non Profits 5 Must Have
Teaching	Teaching 1 Not Needed	Teaching 2 Low Priority	Teaching 3 Neutral	Teaching 4 Nice to Have	Teaching 5 Must Have

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* 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)

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* 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	Job Referrals 1 Not Needed	Job Referrals 2 Low Priority	Job Referrals 3 Neutral	Job Referrals 4 Nice to Have	Job Referrals 5 Must Have
Resource Referrals	Resource Referrals 1 Not Needed	Resource Referrals 2 Low Priority	Resource Referrals 3 Neutral	Resource Referrals 4 Nice to Have	Resource Referrals 5 Must Have
Healthcare Insurance	Healthcare Insurance 1 Not Needed	Healthcare Insurance 2 Low Priority	Healthcare Insurance 3 Neutral	Healthcare Insurance 4 Nice to Have	Healthcare Insurance 5 Must Have
Retirement Plan	Retirement Plan 1 Not Needed	Retirement Plan 2 Low Priority	Retirement Plan 3 Neutral	Retirement Plan 4 Nice to Have	Retirement Plan 5 Must Have
Bookkeeping & Accounting	Bookkeeping & Accounting 1 Not Needed	Bookkeeping & Accounting 2 Low Priority	Bookkeeping & Accounting 3 Neutral	Bookkeeping & Accounting 4 Nice to Have	Bookkeeping & Accounting 5 Must Have
Marketing Yourself & Your Business	Marketing Yourself & Your Business 1 Not Needed	Marketing Yourself & Your Business 2 Low Priority	Marketing Yourself & Your Business 3 Neutral	Marketing Yourself & Your Business 4 Nice to Have	Marketing Yourself & Your Business 5 Must Have
Networking Online/Offline Cocktail parties	Networking Online/Offline Cocktail parties 1 Not Needed	Networking Online/Offline Cocktail parties 2 Low Priority	Networking Online/Offline Cocktail parties 3 Neutral	Networking Online/Offline Cocktail parties 4 Nice to Have	Networking Online/Offline Cocktail parties 5 Must Have
Career Coach	Career Coach 1 Not Needed	Career Coach 2 Low Priority	Career Coach 3 Neutral	Career Coach 4 Nice to Have	Career Coach 5 Must Have
Life Coach	Life Coach 1 Not Needed	Life Coach 2 Low Priority	Life Coach 3 Neutral	Life Coach 4 Nice to Have	Life Coach 5 Must Have
Linkedin Consulting and Marketing	Linkedin Consulting and Marketing 1 Not Needed	Linkedin Consulting and Marketing 2 Low Priority	Linkedin Consulting and Marketing 3 Neutral	Linkedin Consulting and Marketing 4 Nice to Have	Linkedin Consulting and Marketing 5 Must Have
Mentors	Mentors 1 Not Needed	Mentors 2 Low Priority	Mentors 3 Neutral	Mentors 4 Nice to Have	Mentors 5 Must Have
Interview Coaching	Interview Coaching 1 Not Needed	Interview Coaching 2 Low Priority	Interview Coaching 3 Neutral	Interview Coaching 4 Nice to Have	Interview Coaching 5 Must Have

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* 11. What type of referrals would you be interested in receiving?

Jobs

Like minded peers

Cross-industry groups

Industry groups

Other (please specify)

Registration Form

Free Membership

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Resume

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* 5. How young are you?

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* 6. Are you currently employed?

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* 7. My Next Stage has a weekly Teams meeting. What types of speakers would you be interested in hearing. (select all that apply)

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* 8. How helpful would you find sessions around these topics. (5 high, 1 low)

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* 9. What type of platforms would you like to participate in? (select all that apply)

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* 10. How helpful would resources in these areas be to you. (5 high, 1 low)

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* 11. What type of referrals would you be interested in receiving?

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* 12. What can we do to help you in your job search?