The Conscious Leader - January Cohort
This form will help you explore how this experience can support your objectives. It also helps us get to know you a bit better. If you have any questions or would like to discuss, please book a call with Rebecca here: https://calendly.com/arborvida/30min-call
Name
First Name
Last Name
Email address
example@example.com
Please tell us a bit about your leadership context.
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What inspired you to apply for this coaching experience? Why now?
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What experience do you have with coaching, peer forums, leadership development, mindfulness or personal growth programs?
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What do you hope will look or feel different in your life and leadership by the end of this experience?
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What else would you like us to know about you?
Participation in the bi-weekly Peer Circles is an essential component of this experience. Live sessions will take place from 1-2:30pm EST on Tuesday January 19th, February 2nd and 16th, March 2nd, 16th and 30th. Do you commit to attending at least 5 of these live sessions?
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Yes
No
Other
This coaching experience includes an in-depth assessment of your leadership competencies, tendencies and motivational drivers. By default, it is offered as a self-assessment. You have the option to include 360-degree feedback from colleagues (at additional cost). Are you interested in exploring the 360 option?
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Yes, please send me more information on the 360
No, thank you
Other
What is your preferred payment method for this program?
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Pay-in-full ($3,000)
Monthly payments ($1,000 per month x3)
I'd like to explore a flexible payment arrangement
Did someone refer you to Arborvida? If so, please share their name so we can thank them.
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