top of page
Home
About
Intentra
Organizations
Services
Contact
Log In
Section 1: Organization Information
Organization Name
(Required)
Organization Website (if applicable)
Organization Address
(Required)
Organization Mission Statement
(Required)
Primary Contact Name and Title
(Required)
Primary Contact Email
(Required)
Primary Contact Phone Number
(Required)
Section 2: Eligibility & Impact
How does your organization serve underserved communities?
(Required)
How many employees does your organization have?
(Required)
What are your organization’s top leadership challenges right now?
(Required)
How do you hope this program will support your organization and community impact?
(Required)
Section 3: Participant Information
How many employees would you like to enroll (up to 4)?
(Required)
List employee names and how long they have been with the organization.
(Required)
Briefly share each employee’s leadership goals.
Section 4: Commitment
This program includes three 1:1 coaching sessions per participant and monthly group calls. Can your employees commit to attending?
(Required)
Yes
No
What support will your leadership team provide to ensure participants can fully engage?
(Required)
Section 5: Additional Information
How did you hear about this program?
(Required)
Anything else you’d like us to know about your organization’s leadership development needs?
(Required)
Submit
bottom of page
