Executive Consulting Application

Name*

Email*

Cell Phone*

Current Status*

Are you currently employed or contracted?

Yes
No

Notice*

Do you need to provide notice to your current employer or client?

Yes
No
Not applicable

Highest Level of Education Completed

High school
Some college
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate

Certification/Licensure*

Please list valid/current certifications and licensures.

Areas of Mastery*

Please check areas in which you have mastery, meaning you could evaluate, analyze, redesign, and transform those functions in Medical Staff Services (e.g., credentialing, governance, enrollment, CVOs), and write a report of your findings and actions.

Preferred Length of Engagement*

Less than 30 days
More than 30 days but less than 3 months
More than 3 months but less than 6 months
More than 6 months

I am available to accept an engagement on or after this date:*

Preferred Type of Engagement*

On-Site
Remote
Hybrid

I am available to accept engagements within ____ miles of my home.*

Please enter a number from 25 to 3000.

Please upload your resume in PDF format.*

Accepted file types: pdf, Max. file size: 128 MB.

Where did you hear about TMG Consulting?*

Name

This field is for validation purposes and should be left unchanged.

TMG Executive Consulting

We’re so glad you’re ready to join the Consulting team!