ALPHA CONSULTING & COACHING · BY APPLICATION ONLY

Application

YOUR INFORMATION

First Name *

Last Name *

Email Address *

Phone

Current Title *

Organization/Company *

LEADERSHIP CONTEXT

What is the central leadership challenge you are navigating right now? *

What does success look like 90 days from now? *

FIT & READINESS

Have you worked with an executive coach or advisor before? *

Yes — and I am ready to go deeper

Yes — but it did not fully address what I needed

No — this would be my first engagement

What is your preferred timeline to begin? *

Ready to begin immediately

Within the next 30 days

Within the next 60 – 90 days

Exploring — no firm timeline yet

Anything else you'd like Dr. Collins to know?