CareerX: Intake Form
CareerX will use this intake form to provide personalized monthly / weekly check ins. Your data will never be shared attaching your name or company to any confidential information without your approval.
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Email *
Name *
LinkedIn URL *
MANAGER: Do you have a manager? *
MANAGER: How often do you check in with / receive feedback from your manager? *
Choose "Not at all" if you do not have a manager
LEARNING: Do you have learning goals, skills, or role-based milestones associated with your current role? If so, what is your #1 goal?
For example, a learning goal might include learning Tableau, managing a dispersed team, taking direct reports through a performance management cycle. Role-based milestones might include manage an acquisition or securing a partnership. Skills might include interpersonal, technical and non-technical skills around presentations, software, etc.
LEARNING: Do you have learning goals, skills, or role-based milestones associated with your current role? If so, what is your #2 goal?
For example, a learning goal might include learning Tableau, managing a dispersed team, taking direct reports through a performance management cycle. Role-based milestones might include manage an acquisition or securing a partnership. Skills might include interpersonal, technical and non-technical skills around presentations, software, etc.
LEARNING: Do you have learning goals, skills, or role-based milestones associated with your current role? If so, what is your #3 goal?
For example, a learning goal might include learning Tableau, managing a dispersed team, taking direct reports through a performance management cycle. Role-based milestones might include manage an acquisition or securing a partnership. Skills might include interpersonal, technical and non-technical skills around presentations, software, etc.
BUSINESS PARTNERS: Do you have a cross-functional business partners that seek feedback from you or that you provide feedback to? *
Choose all that apply.
DIRECT REPORTS: How many direct reports do you have? *
If you do not have direct reports, please input the number 0
DIRECT REPORTS: How often do you check in with / provide feedback to your direct reports? *
DIRECT REPORTS: Do your direct report reports have clearly defined learning goals or KPIs? *
Required
MENTORSHIP: Do you have a mentor? *
Choose all that apply.
Required
MENTORSHIP: Do you have a mentee? *
Choose all that apply.
Required
CareerX Follow Ups *
CareerX will reach out using the email provided at the top of form and be based on the responses provided in this confidential survey. Your data will never be shared attaching your name or company to any confidential information without your approval.
Required
A copy of your responses will be emailed to the address you provided.
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