Application for
“Just-in-Time” Complimentary Coaching

Yes, Adele! I'm ready to take my professional and/or organizational goals to the next level of success. Please accept my application for your complimentary coaching services!


Contact Information

Full Name*

Primary e-mail address*

Company

Home phone

Work phone

City*

State, Province, or Region*

Country*

*Required fields

Background Information

Please answer ALL of the questions below:

1. In what type of business, organization, or profession do you work? (50 characters max.) *
2. What role(s) do you currently fill?
For example, you might be a CEO, manager, supervisor, team leader, freelance consultant or contractor, specialist or generalist, intern, or other role (50 char. max.) *



3. For what types of issues do you desire help? (50 char. max.) *
4. How did you hear about this program? (50 char. max.) *

5. What are your general scheduling preferences? Please choose an option from the drop-down menu. (Note that we'll be selecting a more specific date and time via e-mail.) *
6. Which “clues” document did you download after taking the Treasure Hunt Quiz? (Please select from the drop-down menu) *


PLEASE NOTE: For each new coaching application you submit, you'll need to select a different clues document.

7. Please type in the 4-character, alphanumeric code from the “clues document” you downloaded: *

PLEASE NOTE: For each new coaching application you submit, you'll need to use a different clues code (the one from the document in #6 above).

8. After reviewing the “clues document” you downloaded, which clue(s) seem most relevant to your situation, and why? Please type or copy and paste your thoughts below. (Your answer can be short or long, but no more than approx. 6,000 characters or 1,000 words — about 2 typed pages.) *

*Required fields

After you submit your application, please look for an e-mail message from Adele@LearnShareProsper.com. It contains further instructions and information, and should arrive in your in-box very shortly.

I am honored to have the opportunity to be of service to you. And, as always, please feel free to write to me at any time to ask a question, contribute an idea, or make a suggestion.

To your business prosperity,

Adele Sommers, Ph.D.
Business performance specialist and award-winning author, educator, and speaker