Women2Women Coach Application

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Women2Women Coach Application - North County

Thank you for your interest in serving as a coach in the Women2Women (W2W) program. Please complete this application if you are interested in being a coach working with a student from SUNY Fredonia, JCC North County Center, or Erie 2-Chautauqua-Cattaraugus BOCES. Questions can be addressed to Hope Zielinski, Outreach Specialist, at W2WOutreachSpecialist@gmail.com.

Visit www.cccwomen.org for more information.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone *

Is it okay if we text you? *

Yes

Alternative Phone

Email Address *

Job Title *

Organization Name *

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