This form provides some basic information about your interests and needs. Once your application is received, we will schedule a 30-minute zoom meeting to discuss mutual fit for coaching or the Inclusive Leadership Lab program.
First Name:
Last Name:
Email:
Phone:
City:
State:
Organization:
Your Role in the Organisation:
What services interest you:
What is your timeline for engaging in Executive Coaching or an Inclusive Leadership Lab?
Describe where in your professional or personal life you serve in leadership roles:
What are your biggest challenges when it comes to working effectively across racial or other kinds of differences in your leadership role(s)?
What is your primary motivation for seeking coaching or participating in an Inclusive Leadership Lab?
Is there anything else you'd like me to know?