Talent Network Intake Form

Apply to join our Talent Network
By joining our Talent Network, you're positioned to be among the first we contact with an available role that is a strong match for your skill set or professional experience.

We partner with growth-stage companies, family offices, holding companies, and investor-backed businesses to place leaders like yourself, who can drive meaningful change.

Completely confidential. No obligation.

Sign up below, and we'll reach out to continue the conversation. In the meantime, explore our resources for insights on standing out in today's market.
Name*

First NameLast Name
Resume - Upload your PDF/DOC/DOCX*

Cancelof
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Position*
Current Company*
Industry Experience
Select all industries where you have relevant professional experience. If your experience spans multiple industries, choose all that apply.*
What level(s) of roles are you most interested in being considered for? (Select all that apply)*
Which functional areas best reflect your core leadership expertise? (Select all that apply)*
What else should we know about your ideal next role, career direction, or the types of opportunities you’d like to be considered for?*
Geographic Preferences
YesNoUnsure
RemoteIn-PersonHybrid
Preferred US States or Canadian Territories (Select all that apply.)
Do you have preferences on which cities you're located in? If so, please list them below.
Compensation Requirements
What are your total compensation requirements to consider a new role? You can provide a target number, a range, or write "open" if you're flexible. *
Please share any preferences or expectations you have regarding equity, ownership, or long-term incentives in your next role.
What does a successful “exit” from your next role look like to you, and over what kind of time horizon?
Please paste your LinkedIn Profile (if you don't have one, write N/A).*
Career Preferences & Experiences
What size companies have you worked in, based on annual revenue? (Select all that apply)*
What types of ownership environments have you worked in? (Select all that apply)*
YesNo
How many years of executive leadership experience do you have?
Tell us about the sizes and types of teams you've led in the past.
YesNo
Should be Empty:

Apply to join our Talent Network

Industry Experience

Geographic Preferences

Compensation Requirements

Career Preferences & Experiences