Coaching Application

Coaching Application
Thanks for your interest in the coaching program!
Please fill out this form to let us learn more about you. You'll receive a follow-up email letting you know if the program is a good fit for what your situation.

Your privacy is important to us. No information you submit will be shared with third parties.
About You
First Name*
Last Name*
Email*
example@example.com
Your Time Zone*
You must be available between 9am and 8pm Eastern Time (UTC-5).
About Your Work
Company or Organization*
What is your current title?*
How many years of professional software development experience do you have?*

5-7 years8-10 years11-15 years16+ years
What best describes your current role?*

Tech leadStaff engineer - single teamStaff engineer - multiple teamsArchitectManagerDirector or Vice PresidentOther
How Can I Help?
Which track are you most interested in?

Productivity and time managementLeadership and influenceGetting promotedCareer developmentOpen source kickstartI'm not sure
Please list three goals you have for your career. *
Think in terms of what you'd like to accomplish in the next three months, one year, and three years.
Please list three challenges you are currently facing or will face in achieving these goals.*
How do you feel that coaching will help you?*
Please be specific: what kind of help are you looking for?
Additional Information
What type of coaching schedule are you interested in?*

12-call/12-week program ($3,800 USD)6-call/12-week program ($2,000 USD)One-time call ($350 USD)Other
Who will be paying?*

My employer (as direct invoice)My employer (as reimbursed expense)Myself
How did you hear about the coaching program?*

PodcastTwitter/XMastodonLinkedInGoogle SearchHuman Who Codes websiteOther
Should be Empty:

Coaching Application

About You

About Your Work

How Can I Help?

Additional Information