Personal information

First name *

Last name *

Email address *

Phone number (optional)

City / State *

LinkedIn profile (optional)

Career background

What is your most recent job title or role? *

What industry or sector did you most recently work in? *

How many years of professional work experience do you have? *

What is your current employment status? *

Actively job searching Currently employed but exploring a change Recently laid off or exited a role On a career break (caregiving, health, personal) Starting or returning from self-employment

Transition & goals

What type of career transition are you navigating? *Select all that apply

Changing industries or sectors Moving into a new functional role (e.g., from sales to operations) Re-entering the workforce after a break Moving from corporate to entrepreneurship (or vice versa) Pursuing a promotion or leadership role Relocating and rebuilding my career network General clarity — I'm not sure what's next

How long have you been actively in this transition? *

In 2–3 sentences, describe what you're hoping your career looks like 12 months from now. *

0 / 500 characters

Self-awareness & readiness

Which of the following best describes where you are emotionally right now? *

Energized and ready — I have momentum Hopeful but uncertain — I need direction Overwhelmed — I'm not sure where to start Grieving a loss — the transition has been hard A mix of all of the above

Have you previously worked with a career coach or participated in a professional development cohort? *

Yes, and it was very helpful Yes, but I didn't get much out of it No, this would be my first experience I've done some self-directed work (books, podcasts, etc.)

What is your biggest challenge or fear about this transition? *

0 / 500 characters

Program logistics

How did you hear about the ClearPath Accelerator Program? *

Are you able to commit to attending all scheduled sessions? *

Yes, I can commit to full attendance Mostly yes — I may need to miss one session I have scheduling concerns I'd like to discuss

Is there anything else you'd like us to know before your application is reviewed? (optional)

0 / 500 characters

Your responses are reviewed confidentially by the ClearPath facilitation team only.

Application received! Thank you for applying to the ClearPath Accelerator Program. Our team will review your responses and be in touch within 3–5 business days.

ClearPath Accelerator Program — Participant Qualifier Form

Participant qualifier