First Name
Last Name
Email
What would you like the group to call you?
Current role, current company, years at company, and years in STEM
In one or two sentences: what do you do at work? Not your job description, the real version.
When did you last go for a promotion or bigger role, and what happened? (If the answer is 'I haven't formally,' say that; it's common and it's data.)
What have you been told about why you haven't advanced? Use their exact words if you can remember them ('not quite ready,' 'we need you where you are,' 'just needs more visibility'...)
What has watching less-qualified people advance cost you, practically or personally? (Optional, but the honest version helps me help you.)
If you had to name the next role or scope you want, even as a rough idea or direction, what would it be?
What would be different in your life 12 months from now if this cohort worked for you?
What have you already tried (mentors, development plans, courses, volunteering for more scope)? What were the results of each?
What does your real life look like right now? Kids, parents, travel, anything that shapes your capacity. I plan our content and our meetings around real time commitments whenever I can..
Anything you want me to know that you'd rather not say in the group? (Confidential to Jennifer.)
When you get stuck or discouraged, what does that usually look like (going quiet, over-polishing, doubling down on work)? What helps?
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