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What's your age? *
What's your gender? *
What's the role you are looking to get next? *
What do you most want to achieve in the next 12 months? *
Describe 3 emotions you want to feel every day in your life? *
What 5 words would you use to describe your current situation?
Out of the following, which do you believe to be the most important ? Note: You can only pick one !
How many years of leadership experience do you have? *
If you had a coach/mentor, what would they help you with that you cannot do alone right now?
Anything else you would like to share?
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THANK YOU so much for applying

If you want to stay in touch, please contact me on LinkedIn.

We will contact you shortly for a short interview, then you will be invited to join the group!

Louise Plessis
The Positively Inclined Coach

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