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First and Last Name
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Email
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Phone
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Time Zone
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EST
PST
CST
Current Job Title & Industry
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Service Type
Please select the mentorship service that best aligns with your current goals:
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Career & Leadership Advancement (Payroll, Finance, or HR Professionals)
Personal & Career Discovery (Individuals seeking purpose or transition)
Payroll Career & Leadership Advancement (Payroll-focused career development)
Focus Area or Topic
Choose your top focus for this session (pick one):
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Discovering New Career Directions
Confidence & Personal Clarity
Entrepreneurship or Passion Projects
Payroll Operations & Department Setup
Payroll Accounting & Reconciliations
Mergers & Acquisitions Payroll Integration
NetSuite & FloQast Utilization
Strategic Stakeholder Engagement
Preparing for Leadership Roles in Payroll
Structuring Career Moves from Finance into Payroll
Building Confidence in a Nontraditional Payroll Path
Career Goal-Setting & Roadmap
Salary Negotiation & Positioning
Navigating Corporate Politics & Growth
Other
Current Career Status
Please tell me a bit about where you are in your career:
What are your current responsibilities in your role?
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What’s working well in your current position?
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What challenges, roadblocks, or knowledge gaps are you facing?
(Required)
Goals & Outcomes
What are you hoping to gain from this mentorship session?
(Required)
Are you exploring a specific promotion, transition, or skill gap?
(Required)
Promotion
Transition
Skill Gap
Where do you see yourself in the next 6–12 months professionally?
Monthly Mentorship Interest
Would you be interested in ongoing mentorship after your session?
Yes, I’d like to explore monthly support
Not at this time
Maybe – I’d like to discuss it in our session
Signature
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