Executive Coaching Onboarding

Your Information

Thank you for beginning your EMPOWER Journey. This short form helps us prepare for your first session. It only takes a few minutes.

First Name *

Last Name *

Phone *

Email *

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I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

Professional Snapshot

Tell us a little about your role

Years in Leadership / Management

Organization *

Occupation/Role *

Industry *

Which best describes you?

City *

State *

Short Bio *

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Coaching Preferences

Which Coaching Program are you a part of?

Preferred Communication Channels *

Preferred Meeting Windows *

Weekdays – Morning (8am–12pm)

Weekdays – Afternoon (12pm–5pm)

Weekdays – Evening (5pm–9pm)

Weekends – Morning (8am–12pm)

Weekends – Afternoon (12pm–5pm)

Weekends – Evening (5pm–9pm)

Terms and Conditions

Agreement & Signature

BW Empowerment LLC’s Executive Coaching Program is a professional development partnership created to help you grow with clarity, confidence, and purpose. Together, we’ll focus on strengthening your leadership, refining your goals, and building strategies that support both personal and professional

success.

This program is a collaborative process intended to enhance performance, awareness, and accountability. It is not therapy, counseling, or consulting, and it does not replace the guidance of mental health or medical professionals.

By signing below, you acknowledge your understanding of the coaching relationship and agree to participate fully and confidentially in the BW Empowerment Executive Coaching Program.

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