Request a Proposal
Tell us what is happening in your organization. Lena will review your request personally and follow up within 2 business days.
About You
Full Name
*
First Name
Last Name
Job Title
*
Organization Name
*
Work Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Website
About Your Organization
Industry
*
Please Select
Electric Cooperative or Utility
Broadband or Telecommunications
Healthcare or Senior Living
Nonprofit
IT or Technology
Economic Development
Education
Other
If Other, please specify
Total Number of Employees
*
Please Select
Under 25
25 to 50
51 to 100
101 to 250
251 to 500
500+
Number of Leaders Who Would Participate
Does your organization have more than one company, location, or subsidiary involved?
*
Yes
No
What You Need
What do you need help with?
*
Executive Team Alignment
Culture Transformation
Leadership Development (directors, managers, supervisors)
Executive Coaching
Board and CEO Advisory or Strategic Planning
Keynote or All-Employee In-Service Day
Team Assessments (DISC, Working Genius, EQ-i 2.0, CliftonStrengths)
Team Journal Packs
Not sure yet
What is happening right now that prompted this request?
*
What would success look like 12 months from now?
Have you worked with a leadership or culture consultant before?
Yes
No
If yes, what worked and what did not?
Timing and Investment
Ideal Start Timeframe
*
Please Select
Within 30 days
1 to 3 months
3 to 6 months
6+ months
Still exploring
Do you have specific dates in mind?
Estimated Budget Range
*
Please Select
Under $5,000
$5,000 to $15,000
$15,000 to $50,000
$50,000+
Not yet determined
Where is your organization in its budget process?
Please Select
Budget is approved
Planning next year's budget now
Need a proposal to request budget
Not sure
Who else is involved in this decision?
Next Step
Best way to reach you
*
Email
Phone
Either
How did you hear about Authentic Encounters?
Please Select
LinkedIn
Newsletter
Lena Speaks Podcast
Webinar
Conference or Speaking Event
NRECA or Association
Referral
Google Search
Other
If Referral, who referred you?
Request My Proposal
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