Apply to a Cohort Interested in being the company of evolving leaders? Tell us about yourself! Name * First Name Last Name Email * Phone (###) ### #### Current Role: What is your most pressing leadership challenge? You need to lead change in the organization but lack the support, allies, and resources you need for success. Your organization is changing before your eyes, and it is hard to know what kind of leadership you need to exhibit. You are a middle manager facing pressure from all sides and you feel unappreciated and underutilized. You are leading a team that has the right hard skills but still is not as effective as it could be. You want to move up but need to develop leadership within your followers to do so. You are rethinking your career and your leadership but struggle to reshape your identity to match your new reality. Other Where do you hope to be in your career 12 months from now? In what ways do you think a Doc Roc cohort would help you grow as a person and as a leader? Over the past 6 months, how much have you invested into your professional or personal growth? What three things worked best for you and what three things didn't work for you from those experiences? * What level of commitment do you have to participate in a cohort and complete the activities that will move you forward? Preferred Start Date MM DD YYYY How did you hear about us? Friend or Colleague Article I read Internet search LinkedIn Other Thank you!