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Coaching Intake Form

For a Free Resume Review or to start your coaching today, fill out the Quick Intake Form below.

Baez Coaching Intake Form

Date *
Your name *
Address
City/State *
Email *
Phone *
Where did you hear about Baez Consulting and Coaching? *
Do you have a Linkedin account?
Your LinkedIn URL?
Highest Level of Education *
Degree(s) Earned?
Your Current Annual Income Per Year (or most recent) *
Your Target Income Per Year *
Total Current Household Income
Geographic Preference for next Career step
What Languages Do You Speak (Primary/Secondary)
Gender
MaleFemale
Age
Under 2525-2930-3940-4950-5960+
Race/Ethnicity
African AmericanAmerican IndianAsianHispanicWhiteOther
Are you currently employed?
List most recent positions
Describe your primary career concern or question
Additional concerns / issues you would like to address during coaching?
What Goals or Projects would you like to complete in the next 90 days? (Which is most critical?)
Other comments / questions / concerns?
Readiness Assessment – Career Challenges (3: Very comfortable, 2: Fairly confident, need some help 1: Need a lot of help!)
Establishing Resilience, persistence, patience
Developing marketing tools (resume, cover letter, commercial, scripts)
Developing online presence (linkedin, etc)
Understanding my job market
Dealing with generational obstacles
Getting Clarity on what I want to do and where I want to work
Developing better time management skills
Networking and forging relationships
Maintaining balance between Anxiety and Excitement
Presenting myself well and articulating my value
Getting educational credentials to further my career
Basic technical/computer skills
Understanding strengths / interests / transferable skills
Understanding my workplace values
Planning retirement and what to do when I do
Having a network of supportive people
Attach Your Resume for a Free Resume Review

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