Passport Collective, Expression of Interest

Peer Advising Interest Form

The Passport Collective is a community of peer advising cohorts for women who are looking to grow their success and deepen their impact.
Are you interested in peer advising?
Tell us about yourself, and we'll reach out for a conversation.
Name*

First NameLast Name
Phone*
Email*
City / State (Residence)*
Birthday*

MonthDayYear
Date
In which sector do you work? (select all that apply)

Private sector (includes consultants and business owners)Nonprofit sectorPublic sectorOther
What type of Peer Advising Circle are you interested in? (select all that apply)*

Top leaders (CEO, president, executive director)C-Suite leadersBusiness ownersNew / First-time leaders'Next step' leaders (next step = C-suite)Rising stars, with an eye on leadershipConsultants and solopreneursOther
Title*
How long have you been in this role?*
Company / Organization*
What are the goals or challenges that are prompting you to explore peer advising?*
Have you ever participated in peer advising?*

YesNo
Briefly share your experience with peer advising.*
The Passport Collective is a leadership development initiative of Rosedale Green.
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Peer Advising Interest Form