Nursing Career Coaching Program — Fit Application
Answer a few questions about your current role, goals, and readiness so I can confirm fit and next steps.
About You
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City and State
*
License / Credential
*
LPN/LVN
RN (ADN)
RN (BSN)
RN (MSN or higher)
Nurse Practitioner / APRN
Nursing student or not yet licensed
Years Practiced
*
Less than 1 year
1–3 years
4–7 years
8–15 years
More than 15 years
Current Role and Practice Setting
*
Where You Are Now
What best describes your current situation?
*
I feel stuck in my current role
I am burned out and thinking about leaving bedside nursing
I want to move into leadership or management
I want to move into nursing education
I want to explore non-bedside or nontraditional roles
I want to start or grow a nursing business
I am a new nurse figuring out my first or next move
I am returning to nursing after time away
Other
What is not working in your career right now?
*
What have you already tried to make a change?
*
Where You Want to Go
What would you like your nursing career to look like 12 months from now?
*
How clear are you about your next role?
*
Very clear — I know the role, I need help getting there
Somewhat clear — I have a few options and need help choosing
Not clear — I know something needs to change but not what
When do you want to make this change?
*
Within the next 3 months
3–6 months
6–12 months
Not sure yet
Readiness and Commitment
Weekly time commitment
*
Less than 1 hour
1–2 hours
3–4 hours
5 or more hours
Readiness to receive honest feedback and take action between sessions
*
Not ready yet
1
2
3
4
Fully ready
5
1 is Not ready yet, 5 is Fully ready
Budget / investment situation
*
I am ready to invest in full
I am ready to invest with a payment plan
I need more information before deciding
This is not in my budget right now
When would you like to start?
*
Immediately
Within 2 weeks
Within the next month
Later
Final Questions
How did you hear about us?
*
Instagram
TikTok
Facebook
YouTube
Nursing Strategies for Success podcast
Referral from a friend or colleague
Google search
Other
Anything else you'd like us to know before the call
Submit My Application
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