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Home » Private Executive Coaching & CEO Coaching Application

CEO & Senior Executive Career Coaching Application

Do you want to take your career and business to the next level?

To apply for a CEO or Senior Executive Career Coaching Program with Katie-Jeyn Romeyn International, please complete each section below. Your answers to the questions will help you understand if taking your career and business to the next level is something you are ready for and will help me determine if I can help you.

Your Application will be messaged directly to Katie-Jeyn Romeyn's personal email. Following review of your Application, we will then book a time for us to explore further where you are at and what you want to achieve further on the phone.

Looking forward to receiving your Application.

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Private Executive Coaching & CEO Coaching Application

Step 1 of 8

12%

Full Name*
First Last
Email Address*

Phone Number*
Provide your LinkedIn URL

Share a little about your career*
Specifically, what is the main challenge you are facing right now that you need help with?*

Would you say that you are achieving your goals?*
- Yes, I am achieving my goals and am content
- Yes, I’m achieving my goals, but feel ‘lacking’ in some areas
- I’ve had achievements in the past but feel stuck or on a plateau
- This is a big deal for me…there’s so much I want to achieve but don’t seem to be getting anywhere

What are you interested in at this time:*
- Securing my ideal opportunity
- Increasing my income
- Already at a senior level and want to expand my impact to become an even more significant influencer and contributor in my field
- All of the above

What was your Base Salary in the last 12 months?*
- $0 - $300,000
- $300,000 - $350,000
- $350,000 - $400,000
- $400,000 - $450,000
- $500,000 - $550,000
- $550,000 +

What is your income goal for the next 12 months?*
Why are you not where you want to be in your career and life RIGHT now?*
Katie-Jeyn, I won't mess you around, I understand that if we both decide working together is a great idea, that there is an investment...*
- I have the financial resources to invest in my growth
- I can access the financial resources necessary
- I have no financial resources at this time but would like to stay in touch on the basis that my financial position willl improve

Complete the following sentence. Katie-Jeyn, in practice I am a(n)…*
- Excuse maker who looks for opportunity but then finds ‘reasons’ not to take advantage of them
- Procrastinator who decides to take action but never pulls the trigger and the amazing opportunity is gone
- Action-taker who sees an opportunity and moves forward but I’m still not happy
Name
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About
Events
- NOW Showing
- Ambitious Leaders Network
Coaching
Speaker
Hall of Fame
Results
Resources
- Book
Blog
Connect

About
Events
- NOW Showing
- Ambitious Leaders Network
Coaching
Speaker
Hall of Fame
Results
Resources
- Book
Blog
Connect

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PHONE: +61 418 932 783

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A special event hosted by Katie-Jeyn Romeyn where we meet to INSPIRE each other, CELEBRATE SUCCESS and share SECRETS to career advancement.

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