--- title: Faculty Intake Form --- [![tldgrouplogo compressed.jpg](https://info.tldgroupinc.com/hs-fs/hubfs/tldgrouplogo%20compressed.jpg?width=400&height=84&name=tldgrouplogo%20compressed.jpg "tldgrouplogo compressed.jpg")](https://www.tldgroupinc.com/) # Faculty Intake Form Thank you for your interest in joining the faculty of The Leadership Development Group (TLD Group) As a talent development consulting firm, exclusive to the health ecosystem, we engage with the most qualified coaches, consultants, and leadership development practitioners to design and deliver executive assessment and coaching programs; organizational development consulting projects; large scale leadership development initiatives; and, thought-provoking presentations and keynote addresses.  Our clients include senior executives, scientific/clinical leaders, teams, boards, and organizations in the health industry and health adjacent organizations.  --- #### A member of our team will be in touch to confirm receipt of your application. In the meantime, if you have any questions please feel free to contact us at [info@tldgroupinc.com](mailto:info@tldgroupinc.com) #### About Us The Leadership Development Group, Inc. was founded by Tracy Duberman, PhD a respected health services executive and leadership development consultant. TLD Group partners with clients across the healthcare spectrum on the design and implementation of innovative leadership development programs. Learn more at [www.tldgroupinc.com/about-us/](https://www.tldgroupinc.com/about-us/) #### Links The Leadership Development Group 29 Broadway, 26th Floor New York, NY 10006 1.800.455.2049 Copyright 2026 | Designed with ** by [HubSpot](https://www.hubspot.com) [**](https://info.tldgroupinc.com/faculty-intake-form#) ![](https://ws.zoominfo.com/pixel/61dd91042e9070001af8b858)