Career Coaching & Outplacement Registration Form
Please fill out the form to help us understand your needs and goals.
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 & State
*
Are you completing this form for yourself or on behalf of an employee?
*
Individual (for myself)
Employer (purchasing outplacement)
Your Situation
What is your current job-search status?
*
Just starting
Actively searching
Considering a change
Recently laid off or let go
Re-entering the workforce
Target Industry or Role
*
How long have you been searching?
*
Not yet started
Less than 1 month
1–3 months
3–6 months
6+ months
Your Materials
Upload your current resume
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
LinkedIn Profile URL
Your Goals
What do you hope to gain from working with Mon Amie's?
*
Which package are you most interested in?
*
Career Launch ($297)
Career Transition ($497)
Monthly Coaching ($197)
Outplacement — Employer
Not sure yet
Anything else you'd like to share?
Register
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