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Request Executive Service Corps'
Consulting, Professional, and/or Executive Services
First Name:
Last Name:
Email Address:
Mobile Number (For text message follow up):
Organization/Association/School/Library/Company/Etc.:
Role at Organization:
What's your mission/mission statement?
Services Requested (1 to 3 top priorities):
About E.S.C. Presentation/E.S.C. Guest Speaker
Accounting & Finance
Board Development
Board Retreat
Board Recruitment & Placement
Communications & Marketing
Corporate Social Responsibility
Diversity, Equity, & Inclusion / Engage 360
Executive Coaching & Mentoring
Employee Handbook (Creation, Review, or Update)
Executive Search & Recruitment (of Staff Members)
Human Resources & Compensation
Interim Executive Director
Referral Service/Recommendation Needed
Strategic Planning
Training & Workshop
Urgent Action Team
Other (Tell us about it & we'll try and make it work.)
If other, please explain:
Start Date Requested:
Engagement(s) Budget (This is the amount your organization can contribute to the E.S.C.’s cost of your organization's services.)
How did you hear about the Executive Service Corps?
Choose an option
Is there someone we can specifically thank?
Comments/Anything Else?
Submit!
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