Interested in our upcoming Create Work You Love 4 Month Career Program? Get support in finding work you love. Fill out the form below to apply for a 1:1 phone strategy session with Vanessa! Name* First Last Email* PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country How did you hear about this program?* Vanessa spoke at your company Twitter From Vanessa's website or newsletter Forbes Article Facebook Vanessa spoke at an event you attended Huffington Post article Google Search friend / family / colleague From Vanessa & Lisa's newsletter (MBA) Other OtherWhat's your LinkedIn profile? (if you have one) (ex: http://www.linkedin.com/in/vanessaloder)* What's your biggest struggle when it comes to creating work you love?*Why are you interested in Vanessa's "Create Work You Love" Program at this time? Be specific.*What would you like? (this is intentionally vague, answer however you'd like)*What's stopping you the MOST from having what you want right now?*A belief that I "should" do something practicalDon't know what I really wantNot sure I believe it's possibleMoneyScared of what other people will think/sayI already love / really like my work and lifeFear of failingWhen you think back on other transitions you've been through in the past, what helped you navigate that transition?*Are you willing to commit at least 6 hours a month for four months as a participant in this program?*YesNoMaybeIf you were to look back in 4 months and say "Wow! I can't believe how much things changed as a result of that program," what will you have received?*If you find this program valuable, would you be willing to share it with at least three (3) friends?*YesNoAnything else you'd like me to know?