Confidential Leadership Support (CLS)
If you are experiencing a life-threatening situation or any other urgent issue, call 911 or go to your closest emergency room immediately. Alternatively, you can contact our 24/7 toll-free number at 1-800-484-0152 to be connected with an on-call therapist.
What is your full name?
*
First Name
Last Name
Which Union/Company/Municipality/Association do you belong to?
*
Are you a leadership member, manager, or HR professional?
*
Leadership Member
HR Professional
Union/Association Representative
Other
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Please indicate your gender identity:
Male
Female
Transgender/Non-binary(2SLGBTQI+)
Do not wish to disclose
Other
Please provide a reason for seeking confidential managerial support?
(Ex: grief of an employee, how to support an employee, resources to provide etc)
What are the biggest challenges you currently face in your leadership role?(Check all that apply)
Managing conflict
Employee engagement/motivation
Team performance
Work-life balance
Communication skills
Time management / prioritization
Stress management
Organizational change
Other
I understand that leadership support is not mental health support and is focused on professional development only .
By checking this box you consent to be contacted and participate in a leadership support session.
Submit
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