Community Resource Center: Coaching Initiative

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Capacity Coaching Initiative: Application

First Name:*

Last Name:*

Job Title:*

E-Mail:*

Organization Name:*

Address:*

City:*

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Phone: *

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Budget Size:*

Billing Address if coaching services are provided: *

What one or two challenges or goals are you interested in exploring with a coach? *

How could an Executive Coach support you best? *

What "type" of coach would suit you best? (Ex. level of experience, specialty areas, personality, male or female, directive or nurturing) *

When would you be ready to start coaching? *

How many times per month do you think you would like to talk with your coach?

I have read the information on CRC's website and understand what Executive Coaching can do for me.

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