Women Who Lead:
Growth and Grounding for Women In Leadership.

Stress and Anxiety Counseling Group for Women in Leadership Roles Application

Thank you for your interest in Women Who Lead: Growth and Grounding for Women In Leadership. Please complete the application below to help us understand your needs and ensure this group is the right fit for you.

First name

Last name

Phone Number

How did you hear about this group?

Do you manage a team? If yes, how many people do you oversee?

What aspect of your leadership role causes you the most stress or anxiety?

Do you feel being a woman in leadership presents unique challenges for you?

Why are you interested in joining this group? What do you hope to gain from the experience?

Have you participated in a counseling group before?

If you chose "no" in the prior question, please let us know what information you would need to provide to the primary financial decision maker?

Would you consider requesting funding from your employer to support your participation? If so, what information would you need from us?

What motivates you to take this step now, at this point in your leadership journey?

Is there anything else you would like us to know as we review your application?