Josie Coaching Interest Form Thank you for your interest in the Josie Working Parent Coaching Program – we are so excited you are here. Please complete this brief form and someone from our team will be in touch. Please enable JavaScript in your browser to complete this form.Name *Your Email *Select the option that best describes you Select the option that best describes you I am planning to go on parental leave in the next 3-6 months I am currently on parental leave I recently returned to work from parental leave If you are currently on parental leave, when is your expected return to work date?How long is/was your parental leave?Are you a first-time parent? Who is your current employer? What is your current title and role? Please tell us a little bit about why you are interested in the Josie program *How did you hear about Josie?ReferralWebsite LinkedInSocial Media (Facebook, Instagram, Twitter) Other ReferralNewsletterSelect this box to start receiving our newsletterSubmit
