Interviewing for Introverts Workshop: Pre-Enrollment Questionnaire

Thank you for your interest in the Interviewing for Introverts Workshop with Segal Coaching LLC. Please complete and submit the following Pre-Enrollment Questionnaire if you are interested in this program. If we determine you are a match and there is space available, we will also provide you with a short Terms & Conditions to sign that includes confidentiality and other provisions.

If you have any questions, please email us at asegal@segalcoaching.com and tshafir@segalcoaching.com.

Note: If you do not give consent to personal information being stored by Segal Coaching LLC, please do not complete a submission. For a copy of Segal Coaching LLC’s privacy policy, click here. Your answers will be kept confidential in accordance with the ICF Code of Ethics.

Name(required)

Date(required)

Email(required)

Mobile Number(required)

Home Address(required)

Current Role and Employer(required)

Other Current Professional Roles(required)

LinkedIn Profile URL(required)

Are you currently in career transition or do you anticipate you may be in the next 3-6 months?(required)

Why do you want to join this workshop?(required)

Your top questions and/or concerns about interviewing:(required)

The most important outcome you are seeking from this workshop:(required)

What else we should know about you:(required)

Do you agree to the confidentiality obligations, prohibition on recording and other obligations in the Terms & Conditions sent to you as part of this workshop?(required)