Interested in exploring working with Rebecca?
Hey there!

This quick form is intended to provide me with a clear idea of what you need help with before we either hop on the phone for a quick chat, or I connect you with a member of my team who can help you.

Filling out this form does NOT mean you are committing to anything - it's just so we can be as efficient with our time as possible.

For any questions, please don't hesitate to email me at

I look forward to connecting further!


First Name *
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Last Name *
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City *
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Email *
Make sure this one's entered correctly ツ
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How did you first hear about Rebecca? *
What industry do you currently work in? *
Or, if you're currently unemployed, the industry you most recently worked in.
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In which area(s) are you wanting help? *
What are your current career goals? *
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How committed are you to making your career goals a reality, on a scale of 1-10? *
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