*1.Job Title/ Role(Required.)

*2.First and Last Name(Required.)

*3.Email(Required.)

*4.Phone Number(Required.)

*5.How did you learn about the People Program?(Required.)

*6.Company Name(Required.)

*7.Years managing people:(Required.)

*8.Number of people you manage: (Required.)

*9.Are you familiar with EOS®?(Required.)

Yes

No

*10.What are your intended outcomes from participating in the People Program? (Required.)

*11.What experience will you bring to cohort discussions?(Required.)

*12.What challenges are you facing?(Required.)

*13.What topics interest you most? (Select all that apply)(Required.)

Communication

Managing Conflict

Hiring and Retention

Time Management 

Managing Difficult Conversations

Delegation

Accountability

Team Health

Other (please specify)

*14.Will you commit the time and frequency required to create value from participating in the Program? (Monthly 3-hour online sessions and 4 in-person workshops)(Required.)

Yes

No

*15.What must be true a year from now – in your career, as a leader and in your life – to consider your participation a success?(Required.)

16.Is there anything else you would like us to know about you or any additional comments you would like to share?