HER Circle of Influence — Application Form

12-Week High-Velocity Leadership Accelerator for Women in Tech

Limited to just 5 transformative seats

Welcome to HER Circle of Influence - a curated leadership accelerator designed for women in technology who are ready to elevate their influence, dismantle internal and systemic barriers, and lead with purpose, visibility, and power.

This is not just another coaching program - it's your access to an exclusive, high-impact circle of ambitious women leaders, cutting-edge strategies, and industry connections that will catapult your next chapter.

Learn more: www.transformwithpadma.com

Personal & Professional Details

Full Name *

Email *

Organization *

Job-Title *

LinkedIn Profile *

Country *

Your Leadership Intent

Why do you want to be part of HER Circle of influence? *

What are your top 2–3 professional or personal aspirations over the next 12 months? *

What do you believe is currently holding you back from achieving these goals ? *

How would being part of a close-knit, high-performance network of women in tech and meeting cross industry leaders transform your leadership journey? *

Are you ready to invest time and energy into your own growth for 12-weeks? *

Yes, I can commit to 2–3 hours/week

No, I am currently unable to commit

Final Reflections

What does “influence” mean to you in the context of leadership? *

What would success look like for you, by the end of this accelerator? *

Anything else you’d like us to know about you or your leadership journey? *

HER Circle of Influence — Application Form

12-Week High-Velocity Leadership Accelerator for Women in Tech

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