New Member Profile

Personal Data
Kalpana Thakur
Name ______________________________________________________________________________________________
9022346290 cakalpanathakur@gmail.com
Best way to contact you _______________________________________________________________________________
Chartered Accountant in Practice
Occupation_________________________________________________________________________________________
Reading Self Help books, writing poems, watching movies
Accomplishments and interests__________________________________________________________________________
__________________________________________________________________________________________________
To become motivational speaker and Trainer
Personal and career goals______________________________________________________________________________
__________________________________________________________________________________________________

Name of sponsor (if applicable) __NA

________________________________________________________________________
NA
Name of mentor (if applicable) __________________________________________________________________________

Communication and Leadership Goals

Fluency and command over English Speaking
What objectives do you hope to accomplish as a member of this club?___________________________________________
Confident Public Speaker, Leadership Skills
__________________________________________________________________________________________________
Yes
Does your job or profession require you to speak in front of an audience?_________________________________________
__________________________________________________________________________________________________
4 out of 10
How would you describe your current skill level as a speaker?___________________________________________________

__________________________________________________________________________________________________
3 out of 10
How would you describe your current skill level as a leader?____________________________________________________

__________________________________________________________________________________________________
Nervousness, hesitation and lack of
Do you have any specific concerns relative to speaking in front of an audience?_____________________________________
confidence
__________________________________________________________________________________________________
Not feeling confident enough
Do you have any specific concerns about leading a group?_____________________________________________________
__________________________________________________________________________________________________

Why did you decide to join a Toastmasters club?__To gain mastery in public speaking
___________________________________________________________
__________________________________________________________________________________________________
Competencies and Skills
What specific skills do you want to improve?
Strategic leadership and conflict resolution ✔ Leadership for complex situations
✔ Interpersonal communication and coaching ✔ Public speaking
✔ Humorous public speaking and speech writing ✔ Interpersonal communication and networking
Creative project management Collaborative leadership
✔ Communication and leadership ✔ Visionary leadership and communication
✔ Motivational leadership Other (specify) ________________________________
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Item 1162F Rev. 03/2021