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* 1. Name

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* 2. Email Address

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* 3. Country

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* 4. LinkedIN URL

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* 5. Have you been affected by job loss at USG, a nonprofit partner or contractor or are you exploring a career transition?

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* 6. Does your professional focus involve any of the areas below. Check all that apply.

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* 7. I am interested in: (check all that apply)

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* 8. Executive Coaching Packages ae offered for a flat fee based on our coaches' nonprofit rates. A limited number of sponsorships may be available for those requiring financial support to participate. Please select the pertinent box below.

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* 9. What is your professional level?

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* 10. What goals would you like to address through coaching? Share 3-4 bullets

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