Deep Dive Workshop – Career Interrupted

Name *

Phone *

Email *

How are you experiencing a career interruption?

What are you currently doing about it?

What is your expectation from this session?

On a scale of 1-10, how committed are you to reinvest in yourself, 10 being very committed and 1 being not committed.

10	9	8	7	6	5	4	3	2	1
Item #3 10	Item #3 9	Item #3 8	Item #3 7	Item #3 6	Item #3 5	Item #3 4	Item #3 3	Item #3 2	Item #3 1

Are you open to be part of the peer group to keep each other motivated and accountable?

Additional comments you would like us to know about you?

Workshop Frequency Monthly

Day: Friday to Sunday (first week of the month)

Time: 8 a.m. – 5 p.m. (PST)

Please Select month of your interest