Our Mission: Empowering veterans to rebuild their identity, grow their network, and find support after service.

Section 1: General Information

First Name *

Last Name *

Which branch of the military did you serve? *

Phone *

Email *

City *

State *

Please share your age range. *

How did you hear about this program? *

Did someone refer you? If so, who?

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Section 2: Goals

These are some of my goals. *

Find a career that is aligned with my strengths.

Learn about life coaching.

Find new hobbies.

Develop healthy friendships.

Find a therapist.

Create a budget.

Buy a house.

Learn about investing.

Improve my communication skills.

Improve my networking skills.

Become a paid professional speaker.

Launch a new podcast.

Write a bestselling book.

Connect with local business associations.

All of the above.

Would career coaching be helpful to you? *

Do you have a Linkedin Profile? *

Would life coaching be helpful to you? *

Section 3: Concerns

While considering leaving or since leaving active duty, can you relate to any of these concerns? *

I'm worried about finding a job.

I'm worried about financial stress.

I'm worried about where I am going to live.

I'm worried I won't find a mentor that I click with.

Networking may be challenging for me.

Finding resources for me and my family is challenging.

I'm not sure how to effectively use Linkedin.

I'm not sure how to present well for job interviews.

I struggle with confidence.

Navigating how to apply for benefits is confusing.

All of the above.

None of the above.

What is your current employment status? *

Do you currently live in the United States? *

When were you discharged from active duty? *

Section 4: Please provide the following information.

Tell us about your work history. *

Tell us about your dream job. *

Tell us about your professional skills. *

Tell us about your 3 top strengths. *

Describe who would be a good mentor for you. *

Please upload a professional headshot. If you do not have one, we recommend using https://instaheadshots.com to create one. *

Please upload your professional resume. *

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