First Name *

Last Name *

Email *

Phone

What is your current title? *

Are you a Senior Executive Assistant of 5 or more years? *

Yes

No

How many years have you been in an EA/Special Assistant role? *

Who do you primarily support? *

Which of these do you regularly do? (Check all that apply) *

Prepare board or committee materials

Draft CEO briefs, memos, or strategy summaries

Lead or co‑manage cross‑functional projects/teams

Conduct research or analysis for executive decisions

Advise on executive decisions

Serve as point of contact for senior internal/external stakeholders

Primarily scheduling/email/calendar/travel

What is the biggest change you want in your role over the next 12–18 months? *

Will you be: *

Self funding

Seeking funding from your org

Not sure yet

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